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41/11/2005 11:39 FAX Amok 0 002/002 <br /> SAN JOAQUIN COUNTY <br /> NOV 1 4 2005 ENVIRONTNIENTAL HEALTH DEPAR'Tb ENT <br /> 304 E Weber Ave 31dFloor Stockton,CA 95205 <br /> ENVIRONMENT HEALT(1209)468-3420 Fix: (209)464-0138 Web:www_co.saa joaquin.ca.us/ehdW Mt <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE AFFLICATION <br /> APPLICANT: eta-- �BUSINESSIAGFNCY: ..A'Q(Ckr <br /> ADDRESS: <br /> /"tk 7�' es4fi'"I Ld <br /> PHONE; FACSIMILE. .744) 944— BLI ' <br /> TENTATIVE"APPOINTMENT DATE: ///27 <br /> (please allow 10 business days tram data of appiwwman submittal) <br /> L-I CHECK BOX TO EXPEDITE REQUEST-ssua FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ •� v rs��, DATE <br /> Department Use Ong! <br /> FILE ADDRESS UNIT <br /> AQPRyle Cr (] Unit 1 <br /> e. Shed <br /> s. sCky Unit 3 <br /> B. Street City �� �0A <br /> T. RZM jr Unit 4 `7 <br /> e, shed . <br /> 9. shed ® Unit 5 <br /> 90. Sheet Q <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ® HOUSING ABATEMENY s(.SOIJO WASTE FACILITY <br /> @t OTHER CLEANUP SfCE(NON-LOP) 0 FOOQ FACILITY ❑ SQUo WASTE VEHICLE <br /> M UNDERGROUND TANK(MdNrrOPjNG(REMOVAL) ❑ DOG KENNEL. M DAIRY <br /> Ass HAZARDOUS WASI E GENERATOR ® CHICKEN RANCH 13�PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKJYARD/CHEM TOILETS <br /> ❑ TATTOWQODY PIERCING ❑ POOLISPA ML LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIt^ry <br /> 1. List up to ten addresses in the space above. Select the type(s)of tiles from the list aboye by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464-0,3a or mail to the <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 tan(10)days after recelpt 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 file that is actively being worked on by EHD staff may not be immediately available far review. Anew <br /> application may be submitted when the rile 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;x93.00 deposit prior to review. <br /> 6. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received <br /> `.awf(ter 3.00 pm wilt be processed the next business pday. <br /> :.AYO �1 LD0'Vll7 f Ff6Nt®6 {.SMT •'�. ~\,.�:: •a ^� • <br /> TIME ��•�s� r./ . y ..�%f.s'�Si .. <br /> DATE CONFIRMED "PHONE FAX '-iNITIALS - <br /> REVIEWED YES NO REVIEW DATE' ' <br /> o xo 444Z-04 ;,I a4 r 'JCt9C <17 <br />