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,01/07/2004 WED 14.30 FAQ X0021002 <br /> V1/V!/LV VY 1L:YJ0 Yp'.�.>p <br /> . . - uvvinurvrv=r+ica—:r_�.ln - rFxt nl <br /> DATE REt IVEb SAN JOAQUIN COUNTY enu L N ��.. <br /> ENmoNlvz>Jty m,HEALTu DEPARTmiNT <br /> 304 E Weber'Ave 3`d Floor Stockton, CA 95205 <br /> JAN 0 7 2004 (209)468-3420 Fax: (209)464-0138 Web: www.co.san-juaquirLcLus1chd <br /> ENVIP,CI mE,'dl HE„I=i H PUBLIC RECORDS RELEASE APPLICATION <br /> PERMI . -;�• <br /> APPLICANT: 1CP�s1 i/GGLBVS1NFs3IAGf.NCY: ��K i7. 00/�4l ES <br /> ADDRESS: //2 K✓ R ST&_CZ: (�,f <br /> PHONE: (aao 3a7-og!& X a lI FACSIMILE: <br /> TENTATIVE'APPOW MENT DATE: /.310 r Tame: 11,60 PM <br /> (Plc allow 10 Wsln days*OM date of appOtadon SUbmlttal) _T Wl4L <br /> pU SocK7DA) �ucsDA-Y <br /> \ CHECK BOX TO EXPEDITE REQUEST-;93.00 FEE–REQUEST PROCESSED IN 3 BUSINESS DAYS 11131 <br /> 0 V i A ja <br /> SIGNATURE OF APPLICANT DATE 3 <br /> DeDwttr nt Usn Only <br /> FILE ADDRESS UNIT <br /> greet OS /f �C ❑ Unit 1 <br /> z. 00$ IVALI <br /> s_ succi AV A 1 Unit 2 <br /> ,, saaA 03JV4V DR/ (� <br /> s, so a a566 NAV G m ❑ Unit <br /> n L- <br /> T 31"t / iLi_le LEtJ15 , ; g�` C Unit4 <br /> e_ sy,y $� ZELTON V& <br /> e saw nit 5 <br /> 10. Se-d G <br /> // ENVIROWENTAL HEALTH DEPARTMENT FILES <br /> ; U <br /> ERGROUND TANK(UST)CLEANUP s1TE(LOP) O HOSING ABATEMENT �sOl-to WASTE FACT fT <br /> f'r <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ❑ SOD WAST£VEHICLE <br /> • UNDERGROUND TANK(MON FORINGlRECiOVAL) C1 DOG KENNEL O DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR M CHICKEN RANCH 11 PKG TREATMENT PLANT <br /> O TIERED PU MrrrED FACILITY r' MOTELIHOTEL O PUMPER TRUCKIYARDtcHEM TOILM <br /> C] TATTOOh30DY PIERCING ❑ POWJSPA r3 LAND USE APPLICATION SITES <br /> ❑ MEDIOALWAsTE FAWI.rtY O OTHER(PLEASESPECIFn <br /> he <br /> es fmm <br /> 1 List <br /> up to ten appropriat addresses <br /> box(es). In the space At east one filetyp MSelect <br /> Ttbe selected f Flax to(2091 a list <br /> 4G4•D138 oabove <br /> Ma checking <br /> address indicated a ova. ed <br /> 2• EHD will notify the applicant if any EHD files eXIsL An appointmentpfor review will be con <br /> 4onrrn flies <br /> approximately five business days but no later than tan 1 o)daysafter receipt of app- <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for revew. Ane' <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganizedbyodeposit <br /> z4 at the <br /> to re ns <br /> of the applicant_ Future file review,by he same applicant may require a$ <br /> S. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE - TIME .. <br /> 'DATE CONFIRMED PHONE . FAX- IN-frIAI-S <br /> REVIEWED ,• YES NO - REVIEW DATE <br /> Ern.aazaon _ • <br /> uerLws <br />