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209:532 0?73 P 07@ <br /> pCY-.1372004. 09=49 RTN LTECH i' }3 ,LQGNUMF <br /> GAM-RECEIVE Jo 4vmr'Ca . . <br /> i . <br /> ENV tUMMEN'Y`AL Ax+TH DEPARTAUM . <br /> 0 C T 12 2004 304 B Weber Ave 3"d k'10or Stockton, CA 95205 67Z <br /> (209)468-3420 ftx: (249) 464-0138 Web:v�w'?K.co.san joaqui>a.ca.us/ehd <br /> Efv��E ;:;i i':IEri i H. r'-�I TH <br /> PcP�ytii i, 4;`JiC 5 PUBLIC RECORDS RELEASE,A,.PPLICAITON <br /> APPLICA3 T- BtJSINESSfAGENiCY' <br /> �A�7"F� >ylV�C�e <br /> r <br /> PHONFACSIMILE <br /> >3 w - - <br /> LL TENTATIVE"APp01N r AdEH7 DATZ, Time: <br /> (PIM36 aila:w io business dais tram dM of apPnawnn submFcs4 <br /> Q CHECK sox TO ExPEDITL REQUEST-$1 oo M-REQUEST PROCM8SED IN 3 SUMM9 DAYS <br /> SIGNATURE OF APPLICANT DATE —_— <br /> DWartrria,t Ll9e Ordy <br /> UNV <br /> FILE ADD - <br /> ATH Unit 1 <br /> Idx <br /> s. Unit 2 <br /> Unita <br /> a r <br /> K4� Unit 4 <br /> e, $uses ❑ Unit 5 <br /> MY <br /> ILON <br /> EN1/3RONMMAL HEALTM DEPARTMENT FILES <br /> UNi)EitGROUNo YANK(Un CLEANUP srfa~(LOP) o HOUSING ABATEMENTLFry <br /> saL�m WASTE <br /> rE Vi i CLf= <br /> IRY <br /> V,UDN=DE <br /> GF.ANUP SrM(NON-LOP) � a FOOD FA�JTY DA LIDGROUND TANK(MONIToRit4OlREMQYAL) DOGS KENNEL <br /> B PKG 7Rf�►71I�ENT PLANT <br /> W-HAZA3DDOU5 WASTE CyEN>=RAZOR CI p l�11C <br /> MOTELIHOM ❑ PUmPER TRucKmARHFM TO(Lrrs <br /> 0 TARED PF77MRTR [r1f C1POOL% A , LAND USE APMICATIM SM <br /> ❑ 7'ATYOO1k70DY PlFRCING NG � !a OWER(PLFAS�gpEGIFY� <br /> 0 mgmcAL-WASTE FACIL.rfY <br /> 4. List up to ten addresses in the spadO abava. Select the type($)of ales froth the list aba]le by chedtln4 <br /> the appropriate box(es). At least one file type MUST be selected. F2(79 dt 438 ar mail to the <br /> address Indicated above. S <br /> 2. EHD will notify the applicant if any F ID files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days omte csi hauld bpt of ca eQmrndfiles <br /> will be held for a maximurn of free business days for review. App <br /> accordingly. <br /> g, Afile that is*activety H g not be immediately availably for thew. A r�si <br /> application may be submi4ed <br /> why s fiis le <br /> a. Any file not returned in the same condition as released will be reorganized by EHD staff at the exAens' <br /> of the applicant. puture file reviews by the same applicant may require a$93.00 deposit prior to-reviiei <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD st2ff- <br /> 6. Applications received after 3A10 pm will be processed the next business day_ <br /> C.0 IR MED APPOINTMENT DA-fE TIME <br /> DATE CONFIRMED <br /> 'PHONE . FAX INiT7AL5''� <br /> REVIEWED YES NO REVIEW <br /> TOTAL P.O�" <br />