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FEB -14-2002 12:25 FROM:TWININC SS INC. 5592687126 TO: '0138 P.001/101 <br />10-17-2WO 10: 2BPM FR -m <br />K.0 W.,, TO 1.5592687126 P . 02 <br />? SAN JOA QUIN COUNTYPUSLIC HEALTH SERVICES kH HUULLM <br />ENVIRONMENTAL HEALTH DIVISIONV4 <br />' <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />T, <br />468-3420 <br />74__PUBLIC RECORDS 9RELEASE APPLICATION <br />APPLICANT K ^ n <br />BUSIKESS/AGI=NCY K, f 4 <br />ADDRESS <br />PHONE 011 - <br />FACSIMILE <br />TENTATIVE_*APPOINTMgNTDATE >d 20 _ - <br />(Please give to business da s hTIME <br />�:AP[Icatlon submittal) 21 WY.ECK BOX TO EXpEDrrE REgUES - 70 d FEB 4QUEST E855 DAYS <br />SIGNATURE OF APPLICANT <br />9 DATE <br />ENVIRONMENTAL HEALTH DIVISION PILES <br />UNDERGROUND TANK (USTI CLEANUP SITE (LOP) <br />O OTHER CLEANUP SFrE (NON -LOP) <br />UNDERGROUND TANK <br />C7 HOUSING ABATEMENT <br />❑ FOOD FACILITY <br />L) SOLID WASTE FACILITY <br />O SOUD <br />(r C`NITORINGlREMQVAL) <br />HAZARDOUS WASTE GENEPATOR <br />O DCG KEKNEL <br />WA5TE VEHICLE <br />O DAIRY <br />❑ T]ERED PERMMED FACILITYa <br />❑ CHICKEN RANCH <br />NpTEvttOTEL <br />❑ PKG TREATMENT PLANT <br />TATT00r80DY PLIRCING <br />G MEDICAL. WASTE FACILITY <br />❑ POOL SPA - ' <br />[3 PUMPER TRUCK/YARMCHEM TOILETS <br />❑ LAND USE APPLICATION SITES <br />❑ PUBLIC WATER SYSTEM <br />Q OTHER (PLEASE SPECIFY ADovj�j <br />�• List up to ten addresses in the space above. Select the types) of files from the list above by checking <br />f1e appropriate bpx(es). At least one file type MUST be selected. Fax to 209 .013 or mail to <br />2. <br />address' diva d abov <br />EHD will notify the applicant if any EHO files exist. An a <br />approximately frve business days but no later than ten (10) days after ppointmeot oreceevipt f aippllcatl be col nirmD fifes <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 activaly being worked on by END staff may not be immediately available for review. A new <br />aPPI"tion may be submitted when the file is available. <br />4. Any file not returned In the Same condition as released will be reorganized b EHb <br />Of the applicant Future file reviews by the same applicant may r y staff at the o review, o <br />5_ `TENTATIVE appointment dates must be confirmed with EHD to ff. re a $87.OD deposit prior to review, <br />6. Applications received after 3:00 pm will be processed the next business day. <br />I <br />EONFIRMED APPOINTMENT DATE <br />! TIME <br />PATE CONFIRMED <br />PHONE FAX INITIALS <br />I�EVIEWEp <br />„ : „,�„_ YES NO REVIEW DATE <br />TOTAL, P,02 <br />