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L <br />02/11/03 TUE 14:29 FAX 925 4985 TREADWELL & ROLLO Zio01 <br />SAN JOAQUIN COUNTYPUDLIC HEALTH SERVICE. <br />F iFB _I ')003 ENVIRONMENTAL HEALTH DIVISION I <br />304 EAST WEBER AVENUE, THIRD FLOOR 1151 <br />LI H STOCKTON CA 95202 <br />(209) 468-3420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT �//y�L Q^LLL,S� �BUSINESSIAIGENCY (feaLJtl� 9,2011t) <br />ADDRESS eL I l� 1u� eGII�, )ILt�Q ZI �O L� t Gl Q cCIA _ �LF�5(�e <br />PHONE 9L�-Z� -y rB� FACSIMILE <br />[ <br />TENTATIVE` APPOINTMENT DATE `e)o ZO /()�j TIME _ �•a�-U3 ��� <br />(please give 7 (a 10 buslno&s days from dalo of application subini(Ial) <br />CHECK OOX 70 EXPEDITE REQUEST 9.00 FEE— ET PROCE55ED IN J BUSINESS DAYS u <br />I <br />-2 <br />SIGNATURE OF APPLICANDATI; <br />FILE ADDRESS <br />THIS SIDE ENO SYAFF USE ONLY <br />PROGRAM ELEMENTS SEARCH <br />51 E)w �5 4 <br />✓ <br />Y�l <br />4'80 Trac r <br />5-7w,_5� t; <br />z3 5 it ear ra <br />-n(: <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />64 UNOL-'RGROUND TANK (UST) CLEANUP SITE (LOP) 0 HOUSING ABATEMENT 0 SOLID WA!i7E FACILITY <br />OTHER CLEANUP SITE (NON -LOP) 0 FOOD FACILITY r-1 SOLID WAS ,'E VEHICLE <br />UNDERGROUND TANK (MONITOR INGlREMOVAL) . q DOG KENNEL 0 DAIRY <br />HA4ARDOUS WASTE GENERATOR LJ CHICKEN RANCH O PKG TREATMENT PLANT <br />TIERED PERMIYTED FACILITY 17 MOTELIHOTEL 0 PUMPER TRUCKfYARD/CHEM TOILETS <br />O TATTOO113ODY PE•IRCING 0 POOLISPA 11 LAND USE APPLICATION SITES- <br />0 <br />ITES0 MEDICAL WASTE FACILITY ti 0 PUBLIC WATER SYSTEM 0 OTHER (PLEASE SPECIFY AElOVEi) <br />1. List up to ton addresses In the space abovo. Select the type(s) of files from the list above by ehe-eking <br />the appropriate box(es). At least one file type MUST bo selected. Fax to (209) 464-0138 or mail to the <br />r address indicated above. <br />2. END will notify the applicant It 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 ba held for a maximum of five business days for review. Appointments should be scheduled <br />accordingly. ' <br />3. A file that.l!� actively being worked on by EHD staff may not be immediately available for review, A new <br />application may be submitted when tho file is available. <br />4. Any file not returned ih the same condition as released will be reorganized by EHD staff at the expense <br />of the applicant. Future file reviews by tho same applicant may require a $89.00 deposit prior to review, <br />5. ''TENTATIVE appointment dates must be confirmed with EHD staff. <br />.6. Applications received after 3:00 pm will be processed the naxt business day. <br />CONFIRMED APPOINTMENT DATE, TIME <br />DATE CONFIRMED PHONE FAX INITIAL.S <br />REVIEWED YES NO REVIEW DATE ^ " <br />c�— <br />Tn 7nHJ <br />U I -IH-DU 1H I N171A1K1r1]1T AK17 <br />ACTG1bQb Tb :QT 7027/7T/TT <br />