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FROM : ENGEO INC TRACY, CR FAX N0- : 209-835-0675 �t. 31 2003 11:55AM PS <br /> DATE RECEIVED � EHD LOG NUMBS <br /> SAN JOAQUIN COUNTY . <br /> ENVIRONIVIENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave Yd door Stockton, CA 95205 <br /> OF 3 1 ?@939) 468-3420 Fax: (209) 464-0138 Web:www.co.san-joaquin.clI,us/ebd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 24SLI 1fj ;fF,�SEt/ 13USINESSIAGENCY: eu6E'D LtJC. <br /> AOORESS: C%� R �A �S 37�7 <br /> PHONE: -133-6- FACSIMILE: 209-$35 - 0675 <br /> TENTATIVE'APPOINTMENT DATE: ARIP Time: <br /> (Please allow 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST•593.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTDATE /o� <br /> ( IQ/,g//.3.. Department Use Only <br /> FILE ADDRESS UNIT <br /> r. e. O! LC LOU o Gl 1- Unit 1 <br /> 2. Sven AO <br /> a. eel Yo5 rm i 7 vE c AtJti_O a <- . .. Unit 2 ... . Ll 13 <br /> Syo Co. GN <br /> 5. st et 77 t o �_ to �3 <br /> r. street HAil!Pg QErftsf OF)OOT rN Uni <br /> e, sweet f AIRQo T WAY ILIO A4)7 <br /> e. sweat 769 Aft?0%7_7 LAY Unit 5 <br /> +o. streetA,,0 oR-7 Lwl / U7 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES (�yam <br /> UNDERGROUND TANK(LIST)CLEANUP SITE(LOP) .�HOUSING ABATEMENT SOLID WASTE ,Atjk) <br /> OTHER CLEANUP SITE(NON-LOP) /w FOOD FACILITY F3 SOLID WASTE <br /> UNDERGROUND TANK(MONITORINGfREMOVAL) DOG KENNEL f$ DAIRY <br /> HAZARDOUS WASTE GENERATOR i CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELMOTEL ❑y PUMPER TRUCKfYARD/CHEM TOILETS <br /> ❑ TATTOOIBODY PIERCING ❑ POOLISPA /u LAND USE APPLICATION SrrES <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) AtUY RuiLo4e, USr OR Nrf 7 tirA-�J` <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464.0138 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 ten (10) days after receipt 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 for review. A new <br /> application 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 expense <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. s <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX' INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> END td-0l-0es <br /> tvarsaes <br />