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06/10/2003 07:55 9252836121 AEI CONSULTANTS (SF) PAGE 02 <br /> uor unr rove 1j:Y11 464013E ENVIRONMENTAL HEt PAGE 02 <br /> - MNICILLuu�vr r <br /> SAN JOAQUIN COUNTY <br /> % ` ENVIRONMENTAL DEPARTMENT� I v_'I� )i <br /> EN304-EAST WE SER AVENUE,THIRD FLOOR <br /> S70CICTON CA95202 ay <br /> JUN 1 0 2003 (209)46&34203�a2a 13 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPc:I+rAN'PE J DUSINESSIAGENCr <br /> Mfr ADDRESS4,5 o GNrnino ni,"o klai-od �cryotzl 'C'a <br /> PHONEp. 9-5 22� `—(0(X)Q FACSIMILE q179 <br /> TENTATIVE"APPOINTMENT DATE jMf TIME <br /> (Pleaac pNeT to 10 bush)esa days♦t'Ofn Qate of agpllcation cu!:mlrial] <br /> r'�❑ CHECK BOX TO EXPEDITE REQUEST-$88.00 FEE-REQUE 3T PROCESSED IN 3 BUSINESS DAYS •� /J��J)))) <br /> SIGNATURE OF APPLICANT D,I,TE C: D _y1Cj) <br /> FILE ADDRESS THIS S15FEHO STAFF USE ONLY II <br /> PROGRAM ELFME - SEARCH <br /> 0 Cb f <br /> - <br /> b s, <br /> Small <br /> 9-6 <br /> 5 ni <br /> Bee Cal nd� = C_&( •n'Qnla <br /> 11(oN Maio `4 1C l; CW." frs)nr1eS 7 � <br /> T <br /> ENVIRONMENTAL HEALTH DIVISION FILES I)" 19 2003 <br /> UNDERGROUND TANK(UST]CLEANUP SITE(LOP) O HOUSING ABATEMENT A SOLID WAi i m- FACILITY <br /> OTHER CLEANUP SITE(NON cCp) ❑ FOOD r ACILRY ❑ SOLA?W.sC)TE VEHRCLE <br /> UNDERGROUND TANK(M ONITORING,?4MOVAL) O DOG)UIdNEL q Eptlwr C <br /> y�HAZARDOUS WASTE GENERATOR ❑ Cl-UCKFN RANCH ❑ PP;G MF-AIFIIE14T PLANT <br /> O TIERED PERMrntV FACILITY O MOTEL/HOTEL ❑ PLIHF'ER 1'RUCI<MARrjICHElq tO1LEr5 <br /> SPEC" <br /> TATTOOlBODY PETRCING C3POOLAPA ❑ LAN USE APpLICgTIrXi SITES <br /> M MEDICAL WASTE FACILITY IZ OTHER(PLEASE SPEC ,� h2it c.n. <br /> -1� zr'.5 <br /> 1. List up to ten addresses in the Space above. Select the type(s)of files From th r. list above by checking <br /> the appropriate box(es). At least one file type MUST be selected_ Fax ttq208.464.0133 or mail to the <br /> addrassindi ted above. <br /> 2. EHD will notify the applicant if any IEHD files exist. An appointment for re'fiew will be confirmed <br /> apprOXimately five business days but no later than ten (10) days after receipt c application. The files <br /> Will behold for a maximum of five business days for review. Appointments sh ould be schedriled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for revhlW. A new <br /> application may be submitted when the foie is available. <br /> 4. Any file not returned in the same condition as released will be reonganL:ecr by 17HD staff at th)r expense <br /> of the applicant. Future file reviews by the same applicant may require ,"$89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be conf inned with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next buslnese,day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATECONIMP.MED PHONE FAX INITL1tZ, , <br /> REVIEWED YES NO REVIEW DATE <br /> Xe�rsoas <br />