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No.4148 P- ill <br /> Aua •25. 2D03�5PM : 1'��r¢"'� EFRTH TECHNOLOGIES -� <br /> r Eno uoc nuaeEa <br /> SAN JOAQUIN COUNTYPUBLIC HEA1-fH SERVICES <br /> �A�1eOMENTAL DIV <br /> lSION <br /> 304 EAST WE8ER AVENUE THIRD FLOOR <br /> 3aa <br /> RUG 2 5 2003 STOCK-TON CA 96202 <br /> (209) 468-3420 <br /> " PUBLIC RECORDS RELEASE APPLICATION <br /> .•, ; , ,; , <br /> y :�_$u5(NESSIAGENCY <br /> APPL'CAN7_pJ:1— � /� ] <br /> ADDRESS S -'v ` <br /> PHONE ' cJ3,a FACSIMILE <br /> TENTATIVE'APPotNTMENT DATE r2q . V TIME <br /> (Pieria Ove 7 10 Ausiness d tram date of application subedCal) <br /> 0 aq <br /> CHECK BOX TO EXPEDITE.REQUUCS,T-$87AO FEE RECNEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _�B+^ DATE L <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> U T PR G E MMSEARCH - <br /> S a.N o c�IC.iar ✓ - ' <br /> Ave, 5t K <br /> r _ <br /> �^ O ✓ 1 <br /> F L _ <br /> vtol_ ✓ a <br /> e • <br /> ENVIRONMENTAL HEALTH DIVISION FILES DD <br /> RT UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT <br /> OTHER CLEANUP SITE(NON-,LOP) ❑ FOOD NG AB rY 'j�y�SCUD WASTE FACILITY <br /> ,y UNDERGROUND TANK(MONITORINGAZEMOVAL) ❑ DOG KENNEL SDAtRY WASTE VEHICLE AUG Z 6 2JO� <br /> y- HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH A PKG TREATMENT PLANT . <br /> 7�TIERED PERMITTED FACILITY ❑ MOTEUHoTEL ❑ PUMPER TRUCKNARO/CHEM TOILETS <br /> MEDICAL WASE FAcjNG ❑ POOLJSPA ❑ LAND USE APPUCATION SnES - <br /> MEDICAL WASTE FACIUTY PUBLIC WATER SYSTEM ❑ OTHER(PSE SPECIFYABOVE) <br /> 1• List up to ten addresses in the space above.'Seiecf-tfte types) of flies from the list above by checking <br /> the appropriate boz(es), At leas t one file type MUST be selected. Fax to (209)864-0138 or rnaiito the <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 of application. The files <br /> will be hold for a maximum of Five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being Worked on by EHO 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 /> 5- <br /> of the applicant. Future file reviews by the same applicant may require a $87.00pr1Qr'TENTATIVE appointment dates must be-confirmed with EHO staff. <br /> B. Applications received after 3:00 pm will be processed the next business day. ' . <br /> U <br /> CONFIRMED APPOINTMENT DATE TIME <br />