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Apr • 9. 2003 3,22PM CONDOR_;ARIH lECHNULUUlis <br /> OATS RECENW ]] W LOG NUMSM <br /> a _ SAN JOAQUIN COUNTYPUBLiC HEALTH SES iC>~S <br /> l,L , L 304 A <br /> �1V ST WEBER AVENUELT, I FLOOR <br /> STOCKTON CA 95202 r <br /> APR 0 9 2003 (209)468-3420 - i <br /> r_NVJRONMENT HE BLiG RECORDS RELEASE APPPUCJNTION <br /> !'! (Y BUSINESSIAGENCY CPNafJJQ .� '-V�Lo�+�L <br />$ APFUCANT 1 <br /> f � fJ(�- 5TlIPC Imo€ +Sul 1 C� 'r <br />� 1 <br /> AI]I1ltl:SS� _ � �t:----- <br /> PHONE i s-! ' OS� $ _ FACSIMILE_ �� 2'3 � �O'S 3's <br /> TENTATIVE'APPOINTMENT <br /> DATE4tai <br /> ( v3 IT�I+ <br /> (Please give 7 business days fr=dale a appo tion subInKtai) <br /> 1, <br /> . CH>~CK sOX To F7CPI:DITE Itl:QIfEST- .ao ME-REQUEST I:SiGC>SSED IN 3 BUSINESS U A"'S <br /> SIGNATURE OF APPLIC .` DATE `� O <br /> >ILI=A13DR SS <br /> THIS SIDE 1 HD AI USE ONLY <br /> HI <br /> PROGRAM ELEMENTSSEARCH <br /> 3U z <br /> S. GL t>00 <br /> 3 0 -5- fit- a � I� �„ � ✓ <br /> L Ll <br /> z - N zzi <br /> 2 fiRE� U _ <br /> — <br /> 3ftyi <br /> 3N3 w � <br /> I? <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> -0,UNUEftGROUND TANK(UST)CLEmup 5rrE{LOP) 0 HOtr-TNG ABATk�41M �SO1JD WASTE V013I.LE <br /> OTHER CLEANUP SrM(NON-LOP) C3 FOOD FACILITY i; CI DAIRY VapSTE'�IE78CL8 <br /> i�UTiDrzarsROUND TANK(MONn OWNGIREMOVAL) 0 DOG KENNEL, j{ M DAIRY <br /> Q CHICK1rNRANCk1 � » PK(�TlVAll4I�i'rT-PI-Ai�l"C <br /> � HA-4AR aus WASTE GENERATOR 17 PIjpAPI:?R TRUCKIYARVICH11M TO1LE7:3 <br /> TIERED PEiMrMO FACILITY t7 MOTE"4?TF-L <br /> C7 TATTOO180DY PEIRCINGy ❑ POOMPA 1) ❑ 0-nIE 115E EOZSPECIFAPPLJCA-nON 51TI=3 <br /> ❑ MAGICAL WASTE FACILITY ❑ PUSUC WATER SYSTEM !� D OTiEI=_FI(p!1=AS�SPECIFY ABDYE) <br /> List up to ten addresses in the space above. Select the type(s) <br /> of f`ales fro <br /> rl�the ll:�t above by cheCkinq <br /> I. typ ( ) <br /> the appropriate box(es).. At least one file type MUST be selected. a t -U9 X64 C38 or mail to tt�n <br /> address Indicated aia_ovq, <br /> 2. EHD will notify-the applicant if any EHD files exist. An appointment for review will l]Es confirnT+aat <br /> ` approximately flue business days but no later than ten ('10) days after receipt of app uativn. The fleas <br /> will be held for a Maximum of fve business days for review.1AppciniXnel'{t`'n should be scheduled <br /> accordingly. <br /> 3. A fie that is actively being worked on by EHD staff may not bye tmmedlat�ly al�eailabfe,for re�+i+e'n+. Anew <br /> application may be submitted when the 016)Z available. <br /> 4. Any file not returned in the same condition as released will be reorgani=d by END staff at the expense <br /> of the applicant. Future file reviews by the satire applicant may requires a $137.00 deposit prier to revi�m►. <br /> 5, 'Tl=NTAT lVE appain#mant dates mast be confirmed with EMD staff,.. <br /> 6. Applications received after 3:00 pm will be processed the T1eIXt business tray. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED <br /> !'HONE FAX 1hflTtALS <br /> I <br /> iP <br />