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__--j&r'/27/2965 08:27 209369' "18 NEIL ANDERSON F'_7R0 PAGE= 02/62 <br /> DATE RECEIVED <br /> SACT JOAQUIN COUNTY EHO LOG NUM56R <br /> ENVIRONMENTAL HEALTH DEPARTNENT O <br /> 304 F Weber Ave 3"6 Floor Stacicton, CA 95205 <br /> (209)468-3420 Fax: (209) 464-0138 Web: www-co.san;joagui.n,ca. <br /> I&MUL 27 AN -8 $9 <br /> PUBLIC RECORDS RELEASE A.PPLZCATICWN JOAQUIN COUNTY <br /> APPLICANT; BUSINESSIAGENCY; <br /> ADDRESS: qDZ <br /> PHONE: FACSIMILE: 3LP-'pt-- <br /> TENTATIVE*APPOINTMENT DATE: C7 `I � � — Time: <br /> . (57D . <br /> (Please allow 90 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$93 0 FEE— EQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE � - S <br /> Department Use Only <br /> FILE ADDRESS <br /> UNIT <br /> h1L, ❑ Unit 1 <br /> 2. Sweet CI '(/ <br /> 3. Slrml <br /> Cts <br /> G El Unit 2 <br /> 5. SVMi Chy 00.W <br /> e. s,zct Ctl nit 3 <br /> 7, srrrri <br /> a. street C <br /> Url I} <br /> p unit 5 <br /> 1a, Strer! <br /> c1tv <br /> I <br /> E=NVIRONMENTAL HEALTH DEPARTMENT FILES j <br /> I <br /> UNDERGROUND TANK(UST)CLEANUP SrrE(LOP) 13 HOUSING ABATEMENT Q SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY M SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL.) ❑ DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED•FACILITY ❑ MOTEUHOTEL 13 PUMPER TRUCKlYARDICHEM TOILETS <br /> 13 TATTOWBODY PIERCING ❑ POOLISPA Q LAND USE APPLICATION srTEs <br /> ❑ MEDICAL WASTE FACILITY E3 OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list aborre by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten•(10) days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4- Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EZHD staff. � <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> I <br /> DATE CONF=IRMED � <br /> PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> END 43.02-006 <br /> _ e+anaaa <br />