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11/26/2003 11:32 916-786-0366 -LFR PAGE 02/C <br />EN'VMONMNTAL HEALTEt DEPARTMENT <br />304 E Weber Ave 3rd Floor Stockton, CA 95205 <br />(209) 468.3420 Fax: (209) 464-0138 Web: www.co.san-joaquimcaus/ehd <br />N 0 V 2 6 2003 <br />I,,,G' I� i I t T„-. PUBLIC RECORDS RELE.ASEAPLICCATION <br />rr <br />PPI ICANT:I o `� 4 C” _ SUSlNESSIAGENCY: <br />tADDRESS, <br />�' -ear n s " c 1 C Kms' <br />- - L <br />- - - — — - <br />r/�►j o e G rt S L' vl'7 S'4�f'r :. aea , C7ev-Ar iT'1�: ' ��'� GHQ � 5--1 <br />HONE: 9/ 6 - 7 e 6 - 7 35g FAcSIMu..E: <br />TENTATIVE* APPOINTIIIENT DATE: Tlme: <br />(Plaase allow 10 bualness days from datE of appilCation submittal) <br />CHECK SOX TO EXPEDITE REQUEST . $93.00 FEfi- RE ROC tN 313USINESS DAYS <br />=NATURE OF APPLICANT DATI= <br />Department Use Or <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNIT <br />>5 [] Unit i <br />❑ Unit 2 <br />r�� <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />')S. OTHER CLEANUP srl'E (NON.LOP) <br />Q HOUSING ABATEMENT <br />❑ FOOD FACILITY <br />FILE ADDRESS <br />del: UNDERGROUND TANK (MOM{TORINGfREMOVA.L) <br />,. <br />S&M <br />D HAZARDOUS WASTE GENERATOR <br />cry Srac re a <br />2. <br />street <br />47Jcr%P% , 2gc.Gn�+y'.�� <br />G S 1JClCY�� <br />9. <br />3h+cl <br />Cl LAND USE APPLICATION SI TF9 <br />city <br />4. <br />s. <br />st" <br />Q <br />a <br />7. <br />s,t"i <br />a, <br />sc,cei <br />d ty <br />9 <br />aly <br />10. <br />steer <br />C"V <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNIT <br />>5 [] Unit i <br />❑ Unit 2 <br />r�� <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />')S. OTHER CLEANUP srl'E (NON.LOP) <br />Q HOUSING ABATEMENT <br />❑ FOOD FACILITY <br />C3 SOLID WAM FACILITY <br />O SOLID WASTE VEHICLE <br />del: UNDERGROUND TANK (MOM{TORINGfREMOVA.L) <br />D pOG KENNEL <br />Cl DAIRY <br />D HAZARDOUS WASTE GENERATOR <br />0 CHICKEN RANCH <br />O PKG TREATMEM PLANT <br />) <br />CI FACILITY <br />TIERED PERMITTED <br />0 MOTELMOTEL <br />El PUMPER TRUCKWARD/CHEM TOILI <br />O TArrOO/BODY P1ERCING <br />0 POOUSPA <br />Cl LAND USE APPLICATION SI TF9 <br />CO MEDICAL WASTE FACILITY <br />0 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 ehecl <br />the appropriate box(es). At feast one file type MUST be selected. 'f=ax_to (209) 4£4-0138 or Mali to t <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 tett (10) days after receipt of application. The fi <br />will be hold for a maximum of five business days for review. Appointments should be scheduled <br />accordingly. <br />3- Afile that Is actively being worked on by EHD staff may not be immediately available for review. A <br />appiitation 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 expo <br />of the applicant. Future file reviews by the same applicant may require :& $93.00 deposit prior to reg <br />5. `TENTATNE appointment dates tnust be confirmed with EHD staff. <br />6. Applications received after 3:00 pm will be processed the next business day. • . <br />CONFIRMED APPOINTMENT [TATE TIME <br />BATE CONFIRMED PHONE .' FAX INITIALS <br />REVIEWED YES NO REVIEW DATE <br />EMO 18.92.096 <br />IWOM03 <br />8 <br />N. <br />