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04/11/2002 07:51 2099E^9837 SAMBAS AND WJMETTE PAGE 01/01 <br /> 04/11/2002 08:50 46ENVIRONMENTALLTH / PA 01 <br /> w.i�6�ckWlU 'V L1.0 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> �� <br /> 1 004 EAST WEBER AVENUE,THIRD FLOOR , ,4 <br /> STOCKTON CA 95202 rT <br /> 02 APR I 1 (209)468-3420 <br /> (� PA& RECORDS RELEASE APPLICATION , �^ <br /> APPLICANT l >!t^l. &NNS `% BUSINESS/AGENCY A -A` W I WN <br /> ADDRESS z1 G%7ANIN C,1kP < Lila. klf- 33 SroC. --MN P� '? <br /> PHONE 7.U"i (-Q B (t 7-0_l TIME <br /> FACSIMILE O q�Z" <br /> ,' U g 3 7 <br /> TENTATIVE*APPOINTMENT DATE '1 'tq'IIOZ ? <br /> • (PlsasO`U.T <br /> 010 bu5�� t17 dasppll submittal) <br /> El CHECK BOX TO EXPEDITE REQUE(S�T REQI?TIES OCE9 1#3 8U ESS DAYS <br /> SIGNATURE OF APPLICANT _ . 1J� �`� DATE <br /> FILE AD13RES6 THIS SIDE ENO StAlYP USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 17�0 0 ST <br /> 3 E. �r17-�Mv T <br /> u WILdv W <br /> 00 N, U j- 5 K 2 <br /> -xo(o Fj MONY $r <br /> S 4W Ar &17, w�S <br /> UT2 - 47, tN S24 s <br /> 2l M.,./¢�v A✓� . <br /> / ENVIRONMENTAL HEALTH DIVISION FILES <br /> SCI NDERGROUND TANK'(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT O SOLID WASTE FACIL" <br /> OTHER CLEANUP SM(NON-LOP) <br /> CI FOOD FACILITYEl SODAIR WASTE VEHICLE <br /> UNDERGROUND TANK(MONrrOWNGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 171 PKO TREATMENT PLANT <br /> P TIERED PERMITTED FACILITY ❑ MOTELIHOTEL • 0 PUMPER T APPUCARD/CH SITES 75 <br /> 17 TATTOOIEODY PEIRCING ❑ FOOLISPA ❑ LAND USE APPLICATION SITES <br /> G M601CA1.WASTE PAGILITY � <br /> CI PUBLIC WATER SYSTEM IJ OTHER(PLEASE SPECIFY ABO ) <br /> ist <br /> 1. List up ten box(es),addresses IAtthe <br /> ieastone fiace be type MUSTthe <br /> b®a Pected f Flax toes D209h 464-11138 ivorbye ht Gthe <br /> g <br /> the appropriate <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 <br /> of application. <br /> a ion. a files <br /> will be held for a maximum of five business days for review. Appointments <br /> accordingly. <br /> 3. A file that Is aptively 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 tha same applicant may require a$89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 8. Applications received after 3:OD.pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />