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DEC-13-2004 12:53 CONDOR EARTH TECH 209 532 0773 P.01i0: <br /> PATE RI*CEIVED I HD LOG NUN Z <br /> - SAN JOAQUIN COUNTY <br /> E r 1riO lA N AL 1 xALTR DEPAR1m.G1\1 <br /> DEC 1 ;3 2004 304 E WeberAve 3`d Moor Stockton, GA 95205 <br /> (209)468-3420 Fax: (209) 464.0138 Web:www-co.san joa,quin.ca.us/ekd <br /> PEPhA ' ` 14j`ICTS PUBLIC RECORDS RELEASE "PLICATION <br /> APPLICANT PA 1 s `7 • �.y�� ,� ,, •� <br /> i"j l�T�(■cE—�BUSI>'IE_SSIAGENCY: am-be R EA ev�' IlC7�-�l WLLi <br /> ADDRESS: <br /> PHON e �- - Q <br /> FAcsr�+nLE: <br /> �: S <br /> TENTAME-APPOINTMENT DATE I eceW►h�,r „�: i <br /> (Please 811vw 10 bvslnaas days from data of application submittal) <br /> J0LJ/ <br /> 95- CHECK BOX TO EXPEDITE ` T-$93.DO FEE--PEQUF.S7 PHOCi_SSED IN 3 BUSINM DAPS <br /> S1014ATURE OF APPLICANT DATE o7004 <br /> Department Use Only <br /> FILE ADDRESS NITff <br /> 3rod4 Unit 1 <br /> z sn*a -7- CRY <br /> ,. S+r'WUnit 2 <br /> S. sucet x o U JUnit V <br /> s PENT6 fe- b ON <br /> 7. sem+ r CM uTAM IKT-dPf "r F1 <br /> e- 6J ;To cgVIN CO. (�4-yLe - �5`1 5 A"r r� wy Urnt 4 <br /> IMMON GiF1G RAMI l?DA1a '""°� X633 L- ryJ;f Sr Units <br /> ENV RONMENTAL HEALTH DEPAfZTMENT FILES <br /> kT UNDEPGPOUND TANK(UST)CLEANUP srrE(LOP) 0 HOUSING AEATEMENT SOLID WASTE IVE- <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY SOLID WASTE4 <br /> UNDERGROUND TANK(MONrTORWO[RENOVAL) ❑ DOG KENNEL AIT DAIRY <br /> HAZARDOUS wASTE GENERATOR & CHICKENH d <br /> RANCH P1CG TREATMENT PLANT <br /> W TIERED PERMITTED FACILITY Q MOTEiJHOTEL 0 PUMPER TRUCK(YARDICHEM TOILM <br /> 0 TATTOMDOY PIERCING o POOLISPA j2!LAND USE APPLICATION SITES <br /> J? MEDICAL wAslr-FAcILn7 ❑ OTHER(PLEASE SPECFn <br /> 1. Inst up to ten addresses in the space above. Select the type(s)of files from the list aboye Oy checidni ) <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. t=HD 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 fie scheduled <br /> accordingly. <br /> 3. A,file that Is actively being worked on by EHD staff may not be immediately available for review. A ne, <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 expens <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to-reviel <br /> 5. 'TFNTATIVE appointment dates must be confirmed with EHO staff. <br /> 6. Applications recelved after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMI~NT AAtE TIME Y i <br /> DACE CONFIRMED 'PHONE • FAX' INITIALS'. <br /> REVIEWED .. 'YES NO REVIEW DATE, _ <br /> TOTAL P.O: <br />