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71 <br /> AUG. it. 2004 4:4Uf M - `-)NUUK EAK i H. I ECH NO. 6355 P, 1 <br /> DATE RECENEQ EHD LOG NUMBER <br /> ra����,4�� .SAN JoAQuntiY COUNTY <br /> n � �, �} '_-�U EN'VI RONMEN'rAL H-EALTH DEPARTMMNT <br /> 304 E Weber Ave 3d Floor Stockton, CA 95205 <br /> AUG 2-7 ZMt9)468-3420 Fag: (209)464-0138 Web: www-co.san-joaquin.ca.us/ehd <br /> yf -LW HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> Z Com: a-ri-kko. Ls 13USINESSIAGENCY: 62plior YGe I ,sofa E5 �ViC. <br /> ADDRESS: 8 a. - S , I ck 20 <br /> PHONE: Z.O 9 - :Z3 -os5m FACSIMILE: 2_01 - Z$44 -0558 <br /> TENTATIVE'APPOINTMENT DATE:_�O_30-0&,a��Gr 2.00 TirR9:_8.30 AAA <br /> (Please allow 10 tipsiness days from date of appllcallon submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-S83A4 FEE�RE ESTPR ESSEo IN S BUS]NESS DAYS <br /> SIGNATURE OF APPLICANT DATE Sh lo <br /> Ddparlmd Use Only <br /> FI[.E ADDRESSi� r UNIT <br /> GI 5�4IG niF <br /> t 4 <br /> 2 s49 �s�.���, ,��- q 7--may <br /> c., ui ❑ Unit 2 (-7 O <br /> Unit 3 <br /> 6, Ireet P 0. :'rte a Y1',i C <br /> 7, s i j,�O�. Cr y`n i a� 9C-5 1 AolrrUnft"4 <br /> a suaec <br /> 0. 5V5.' 13 0 p Unit 5 <br /> 10. sum f/ 4-C i k_ <br /> ENVIRONMENTAL HEALTH DEPARWENT FILES X <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LAP) ❑ HOUSING ABATEWNTfDAJRY <br /> SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) C1 FOOD FACILITY SOLIDSOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIR MQVAL) a DOG KENNEL <br /> W HAZARDOUS WASTE GENERATOR M CHICKEN RANCH 13 PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY M MOTELMOTEL 17 PUMPER TRUCKIYARDICHEM TOILETS <br /> o TATTOO/BODY PIERCING O_POOUSPA ---- ---- -- Q-LAND USE APPLICATION-SITES -- <br /> 0 MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY)__ _ <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above 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. EMD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximatety five business days but no laterthan 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 flie that is actively being worked on by EHD staff may not be"irnmediately 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 EMD staff at the expense <br /> of the applicant Future file reviews by the same applicant may require a$83.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6.. �A]jpLpplicla�tio fns received 3:00 pm will be processed the next business day. <br /> ;u�S.` e41!,f1E!.i711?Q1:151Z 1�1Y1G�l L!�'rf ; '�i 41'1'1 • <br /> kMA <br /> l <br /> h' ."� •'I ' M11'!.''wS.Y •1' .• , <br /> NA <br /> o�� <br />