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3: X0021002 <br /> a 01/2004 13:53 FAX 1 209 234 7727 STOCKTON PACS 91 � <br /> 02/2612-13n``?{q"1�� 4648 ENVIRONMENTV 'HEALTH i <br /> J L'� �D- Gil1J 4v�s a1V�rw�� <br /> SAN JaAQvrN CavrrirY _ <br /> ENVIAONMNTAL,HEALTH DEPARTMENT <br /> '7 <br /> MAR 0 1 200094 �6 304 E Weber Ave P Floor Stockton,CA 952.0547 <br /> ENVIRONMENT"HEA�IN�3420 Fax: (209).464-'0138 Web:wvvw.co.&m-jwqWn,wLus/chd0 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICA.'I m <br /> APPLICAW: e, kbac- BUsiNESSrA[31=NG1�: Wino cc- 4A'i 4 ftSSaG, <br /> aocxss: 3 1 a Lt1_ L : a- 19 <br /> PHVfIE O 2.3 Z FACSI ILM l_Z,o CI) 2 3 q 4 4 2 - _ <br /> TENTATfYE" <br /> MPOMTII<ENT Dam: <br /> (Pbease Wow 70 bus num days from daM a(Mppllcstivn eubmttlai) <br /> ACHECK Box To ExFEORE REQUEST-: .00 FEE— PRS IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT A4 <br /> DATE . 49� <br /> Ce�xdt+er�e use vn[y <br /> FREADDRM... uem <br /> Z D ev` a01 , <br /> fto 33 S ❑ Unit 1 <br /> vAjur y+ ❑ Unit2 OLag4. ed 1Z 3 WAS <br /> ' Unft 4 <br /> ID. <br /> .3. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES � - <br /> ;M <br /> UNDERGROUND TANK(UST)ELEAMP SITE(WP) � HOSJSING ABATEMENT D SOt�D NfAS'i� AWL1fY�' ` <br /> OTHER CLEANUP SrM tNONAJM D FOOD FACLffY El 64XW WASTE VEM E <br /> �.UHDERGROUW TAW(IixoraTCRI MEMOVAL) O DOG KENNEL 0 DAIRY <br /> "AZARXX=WAM GENERATOR ID CHOOKEN RANCH d P=TREATMENT PLANT <br /> E3 TUMM PERM(Tii:RR FACam 0 M OTELMOTEL- 13 PUkW%R TRUCKIYARD♦CI MV TDLM <br /> 13 TATT0 QMMY PI JWM C POOLISPA m LAND usd APPL1cATm SITES <br /> G NEDW-ALWASTT;FACILITY d 04HM(PLemtE <br /> 1. List u to ten addresses In the <br /> P space shave. Sof4at the typo(o)of fees from the list above Py cttacldng <br /> the appropriate box(es). At feast one Hie type BUST be selected. Ea a to(M14_M AISS or mail_�a tfle <br /> ddress dicated b ' <br /> Z. EHD Will notify the applicant if any Ella fifes exist. An appolntment for review wilt be continiled <br /> approximately ftva business days but no tater than ten(10)days after receipt of application. The fifes <br /> wlil be held for a maximum of five business days for review. Appointments should be scheduted <br /> L. <br /> 3. Afile that Is being worked on by EHD staff may not be Immediately a 4atiable for review. Anew <br /> applkCation may be submitted when the file is avaltable- <br /> 4- Any file not returned In tha same concittlon ets released will be reMankzed by EHD staff at the expense <br /> of the applicant. Future file reviews by the www applicant may require a$93: r rl <br /> 6. *TENTATIVE appatntment dates must be confimned with EHD staff. <br /> s- Appiicatign's r�ecclved after 8:00 pm will be processed the next business day. <br /> <x (3NFy4li1 .` b1NTlWg : <br /> `•�Df�F�'C.t�N�D,,�. �_ s. ,, .� ;�a:, =•PF[b1VE . •' 'FAX•' � :'•�,`; $..�i�i�'iAt=S -,;,: '`;�. . . <br /> .s YES NO Ri~'V1EW DATE -�•. y,::;. 'S. j. -- <br /> �m •.000 , <br /> wrteo� - <br /> .J. <br />