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JUI . 8. 2002 11 :59AM CONE " EARTH TECHNOLOGIES No-0268 P. 1/1 <br /> DATE RE .. — <br /> SAN JOA46IN COUNTYPU13LIC HEALTH SERVICES Elm LOG MMBFA <br /> 90 ; ENVIRONMENTAL HEALTH DIVISION <br /> O 304 EAST WEBER AVENUE.THIRD FLOOR D <br /> e� STOCKTON CA 95202 <br /> (209)488-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT MR I- M C&EV E BUSINESS/AGENCY CO►/a OKE-I-H Tec O c_c�l E f <br /> ADDRESS T- <br /> lea F. -ncAc-T1N, A ?5106 <br /> PHONE �A9-1TI)jV-00 0 I� ,05 <br /> FACSIMILE "-V <br /> — 2i4-o51f! <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> give 7 to 10 bUSlneb9 da from date of a plication subnlitq� e <br /> CHECK BOX 70 EXPEDITE REgUE3T-j874140/6* 0 ROCEmd3�E1 BUSINESS DAYS JUS 1 2C0? <br /> SIGNATURE OF APPLICANT /G DATE l3 <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> alaz s, �o R-r w <br /> yo0 5• c <br /> o5— S . 227 . wh^/ <br /> SZ-s S. Petr w <br /> 280 5• PD r w Y _ <br /> 29 Po It w <br /> v' 831 E, ear <br /> N 6/Nz <br /> �4'1z s. AT RfvX r w <br /> T L <br /> MM ENVIRONMENTAL HEALTH DIVISION FILES <br /> N UNDERGROUND TANK(USI)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOUD WASTE FACILITY <br /> R4 OTHER CLEANUP SITE(NON-LOP) El FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> $14 UNDERGROUND TANK(MONfrORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> 64 HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL PUMPER 7T2UC1LIYARD/CHEM TOILETS <br /> ❑ MEDICAL WAS00Y PEIRCING ❑ POOL/SPA ❑ LAND USE APPLICATION SITES <br /> 6d MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) Of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to 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 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 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 the same applicant may require a $87.00 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 next business day. <br /> CONFIRMED APPOINTMENT DATE <br /> TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br />