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FROM Geo–Phase Environmental . FAX NO. 2095690295 <br />! <br />SAN JOAQUIN COUNTYPUaLIC HEAL i'H SERVICES <br />ENVIRONMENTAL HEALTH DIV�iSIQN <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 957-Dz it <br />(209) 468-3420 11 <br />0,�PUBLJC RECORDS RELEASE APPLICATION <br />APPLICANT <br />ADDRESS <br />4 <br />OU31NE551AGENCY <br />26 2002 02:03PM P2 <br />Q....5W9 <br />151EC[E�WEInl <br />MAY 2 8 2002 <br />ENVIROPiMEIVT EALTH <br />ICES <br />,i <br />PHONE- f— FACSIMILEf e, <br />TENTATIVE" APPOINTMENT 4ATL � !{ <br />(Please UNC T to 10 us ines:. Clays from dateplicYIN= <br />ti-%ibiniltal) <br />CHECK BOX TO,UPEOrrE REQUEST • $07.DD �I k'ST f�t SSED Nf13 DAYS <br />SIGNATURE OF APPLICANT >>' DATE <br />II ,00, <br />FILE ADDRESS <br />i. THIS SIDE F -HD STAFF Usti ONLY <br />ii F119U TAM EL MENTS $1*ARCH <br />-7 r <br />p ii <br />z <br />I# <br />ij <br />11 <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />UNDERGROUND TANK (UST) CLEANUP 5ITl; tI.OP) D HOUSING ABATEMENT s', O !SOLID WA5TE FACILITY <br />OTHER CLEANUP SITE (NON -LOP) D FOOD FACILITY ;� A SOLID <br />WASTE VEHICLE <br />PK UN09KGKOUND TANK (MON1TORINGIREMOVAL) d DOG KENNEL !, ❑ >SAIRY <br />HAZARDOUS WAS_W GENERATOR ❑ CHICKEN RANCH d PKU TREATMENT PLANT <br />TIERED PI=RMITTSD FACILITY © I`dOYI:LIHUTEL I 0 PUMPERTRUCKNARDICHEM TOILETS <br />❑ TATTO0l90DY P41RCiNG ❑ POOUSPA 0 %LAND USI= APPLICATION SITES <br />O AM1>r0ICAL WA5T9 FACILITY 0 PUBLIC WATER SYSTEM . 0 'OTHER (PLEASE SPECIFY ABOVE) <br />1. List up to ten addresses in the space above. Select the typo(s) of files from the list above by checking <br />trio appropriate.box(es). At feast one file typo MUST be selected. Fax to 209 464-0938 or mail I4 thR <br />address indicated above_ iR <br />2. EHL) will notify the applicant if any EHO files exist. An appointment for review will be confirmed <br />approximately five business clays but no later than ten (10) days after receipt Of application. -The files <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'actively being worked on by EHD staff may not bfi1mmediatcly available for review. A new <br />application may be submittod when the file Is available. li <br />4. Any filo not returned in the same condition as released will bQ toorganixod Oy EHO staff at the expense <br />Of the applicant. Future fife reviews by the same applicant may require a $67.00 deposit prior to review. <br />5. "TENTATIVE appointment dates trust be confirmed with EHD staff. <br />5. Applications received after 3:00 pm will be processed the nextlbusincss day. <br />al <br />CONFIRMED APPOINTMENT DATE <br />DATE CONFIRMED <br />REVIEWED YES <br />TIME <br />I <br />- PHONE FAX INITIALS <br />NO REVIEW n,4TF <br />Il <br />