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04/11/2002 07:51 2099520837 <br />04/11/2002 08:50 4640 <br />BAMBAS AND WILLMETTE <br />ENVIRONMENTAL .�_TH <br />uNi 1:kiVL <br />SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />r. §OM1 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />02 APP, 1 1(209) 468-3420 <br />01116b RECORDS RELEASE APPLICATION <br />APPLICANT BILI. 6AN\PjA% RUSINESSIAGENCYy- <br />ADDREss, 7,02-1 C./4#,M- ALA)3. A*- 33 <br />PHONE 769 L(-? Q ~ (i ZO FACSIMILE 2,01— <br />q1; -j- <br />Del <br />9S-Z 0837 <br />I� 7 <br />TENTATIVE"APPOINTMENT DATE 1 tG10z TIME <br />(Please e7 Globusiitecs da appllee' submittal) <br />El CHECK BOX TO EXPEDITE REQUEST- 9. 0 - �0 ES OGED IRS nU JESS DAYS <br />SIGNATURE OF APPLICANT �w ' DATE 'r(, <br />T. <br />L� <br />u.0 _.e <br />am <br />PROGRAM ELEMENTS SEARCH <br />ENVIRONMENTAL HEALTH DN APR 17 <br />NDEROROUND TANK'(U9'0 O SOLID WASTE FACRIT' <br />CLEANUP 317E (LOP) In HOUSING ABATEMENT p SOLID WASTE VEHICLE <br />�07HER CLEANUP 91TI'. (NON -LOP) FOOD FACILITY ❑ DAIRY <br />UNDERGROUND TANK (MONITORING[REMOVAL) EI DOG KENNEL CI PKO TNFgTM ENT PLANT <br />E3 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PUMPER TRUCKfYARD/CHEM TO <br />C3 TIERED PERMITTED FACILITY 0 MOTELIHOTEL ' In LAPID USE APPLICATION SITES <br />CI TATTOOISODY PEIRCING O POOLISPA 0 OTHER (PLEASE SPECIFY ABO <br />vI <br />p MrID10AL WASTC FACILITY ❑ PUBLIC WATER SYSTEM <br />he <br />es <br />m the <br />ist above <br />1. List up roten <br />riate box aaddresses in the At leastone fiabove. <br />le type MUSTtbe selected f Flax too 09 4 164-01 3 oorbyeiht <br />the app p box(es). <br />address Indicated above, for review will be Confirmed <br />2. EI-113 <br />will notify the appiioant if any EHD files exist. An appointment <br />approximately five business days but no later San ten (10) days after <br />receipt <br />Of applicabe tion- tel <br />will be held for a maximum of five business da for review. Appointments <br />accordingly. <br />3. Afile that Is actively being worked on by EHD Staff may not be Immediately available for review. <br />appllcation may be supmitted when the file is available. EHD at the e: <br />4. Any file not returned in the same Condition as released will <br />may require Ta X8Gci 9 0 deport prior to <br />of the applicant. Future file reviews by the same app' <br />ates Must <br />th EHD staff. <br />s. Applications received after 3:00 pm will e ronfinTked l <br />5. l be processed es edthe next business day. <br />F <br />RMED APPOINTMENT DATE TIME <br />ONFIRMED <br />PHONE FAX INITIALS <br />ED YES NO REVIEW DATE <br />01/01 <br />01 <br />O <br />N <br />files <br />A new <br />