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11/17/2004 09:40 FAg 209 94808ZI X002 <br /> 'ItXii F EEC ����1'1� ,-��-. SAN J OAQv12i COUNTY <br /> Er VMON NTAL WALTEE DEPARTNENr <br /> NOV 1 7 2004 304 E Weber Ave 31d Floor Stockton,CA 9520513 <br /> EiVVIRDiV PPr)468-3420 Fax: (209)464-0138 Web: +xww.eo.saa joagl>in.ca uslehd <br /> PERMIT- ` �, HEALTH <br /> /SER4I ,LSPIC RECORDS RELEASE APPLICATION <br /> APPLICANT: FAY• ,, �vV BUSIKESSIAGENCYY:� � <br /> ADURF-SS:,^ <br /> PHONE: gogi <br /> FACSIMILE. O+rOa! <br /> TENTATIVE*41PPOINTMENT DATE: III-so <br /> (Please allow 10 business days#rem date of appticaiiaA submiU) <br /> 13 C14ECK BOX To EXPEDITE REQUEST-$93.00 FEE-REQVEST PROCESSED IN 3.13uSINESS DAYS <br /> SIGNATURE OF APPLICANT -r'r✓'S'"`�� <br /> DATE !//7Aq- <br /> DcparimentUse Only <br /> UNIT <br /> FILE ADOPX-M <br /> a Unit 4 <br /> � W - <br /> 2. sjof ! (� <br /> a I 5�( Unit <br /> a � Unit 3 <br /> e, sae�t G <br /> Unit 4 <br /> r. Sb—f <br /> Unit 5 <br /> 9. 51ae1 <br /> i0. $� G • <br /> -ENVIRONMENTAL HEALTH DEPARTMENT F;LES <br /> UNOBRGRQUNI)TANK(UST)CLVMUP Srrtr(LOP) ❑ HOUSING ABATEMENT BL SOLID WASTE FACILCI Y <br /> E3 F000 FACILITY ❑ SOI.,ID WASTE VEHICLE <br /> 06 OTHER CLEAN W-SCM(NON-LOP) d DOG KENNEL la bAJRY <br /> G3' uNuERGROU140 TANK(MONrrORSNGtREMOVAL) � <br /> GFi[C1C> N RANCH -PKG TREATMENT PLANT <br /> j81 HAZAFtBOVS WASTe GENERATOR0 MOTEUROTEL ❑ PUMPER TRUCK YARfl1CHEM TOILETS <br /> ❑ TI£RFD PERMnTED FACILITY D POOLISPA la LAND USE APPLICATION SITES <br /> Ea TATTOOIBODY PIERCING Q OTKR(PLEASE SPI=CIFY) <br /> ❑ mEDIGAL WASTE FACILITY <br /> 7, List up to ten addresses in the space above, Select the type($)of files from the list above by checkin! <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 208 454-0138 or mail to the <br /> address indicated above. <br /> 2. EHO 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 /> orked an by EHD staff may not be immediately av3ila1,le for review. An( <br /> 3. A file that is actively being w <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 expen <br /> of the applicant Future file reviews by the same applicant may require a$93.00 deposit prior to revi( <br /> g, 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> ta, Applications received after 3:00 pm will be processed the next business day. <br /> C�7NF.kRMED.�-APPOI iiM'E� NTbA'TE ;.,t-f.; ter' :„•�, <br /> t' �.. <br /> :x', -IN AL <br /> :DA7E•GQHFIRNI�D .PI-tON� FAX _ . . <br /> .N o' REVIEW DATE. <br /> RF-V1,EY1fED �- YES <br /> EKG 444Z-094 <br />