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09/03/02 TUE 07:07 FAX 415 992 9475 PES ENVIRONMENTAL Q001 <br /> %9/30/2002 15:34 20946Ev 3 <br /> FIFTH FLUOR PAGE 02 <br /> r SAN JOAQUIN COUNTYPUBLIC HEALTH SERVI (?47N <br /> ENVIRONMENTAL HEALTH DJ'VISiON <br /> 304 EAST WEBER AVENUE,THIRD FLOOR R DCENEDD <br /> STOCKTON CA 95202 <br /> (209)468.-3420 SEP 0 3 2002 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT SAUL t,@R,.ngrlhi BUSRIESSIAOENcY res IjL0.4 ,,.,. N ,Rp�1{ViENTHEALTH <br /> ADDRESS IW'87- 14cVh-ro aLVc, 3rw 100 ,.4eVA,To <br /> PHONE 'i1T-. EQQ . Ito eo P 4,ii. s99 . ic <br /> TENTATIVE•.APPOINTMENT DATE 9/ IT / o Z TIME 1 S <br /> (please glue 0 b In e da MM f apPllc submittal) <br /> $811.00 , �� <br /> CHECK BOX TO EXPEDRE REQUEST. EE-REQUEST PROCESS ]B INESS DAYS > <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE END STAFF Use ONLY <br /> PROGRAM ELPNIENTS SEARCH <br /> j`{3 S. A10. of ww STocic.Tol-/ <br /> 'i46 T. A,RPo0.T we, fTO CK'ru,-/ <br /> \' 3ZM2 S . GL DeRHbo 5-rower S'roc/cTar/ <br /> S. CALIIcafL,4' fT¢.d STaticTer/ <br /> 2509 EL. D 00 a %Teel,-Tor! <br /> 2402. •ro L <br /> L os' S'...CR`1 f�+t•-1•A< Sl-aj eT fT cic..Tb.-{ <br /> -61of r. eL DoR on Sr{t.i+a - <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> tl <br /> OTNDEFtGROUND TANK(LIST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> HER CLEANUP SIIE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> Mr UNDERGROUND TANK(MONITORING/REMOVAL) O 000 KENNEL ❑ DAIRY <br /> a/HAMLIOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTHLMOTEL ❑ PUMPER TRUCK/YARDICHEM TOILCTS <br /> ❑ TATTOO/BODY PETRCING Cl POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM Cl 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 (2091464-0130 or mall 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 b81ng 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$x9.00 deposit prior to review. <br /> S. '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. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />