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Au8 . 25 . 2003 1 20P , CO%EARTH TECHNOLOGIES 4 No -4748 P. 1/1 <br /> r�l'wr1 I�� �� <br /> GAT$RECEVED <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES EMO LOG NU.WA <br /> ENVIRONMENTAL HEALTH DIVISION <br /> AUG ? 5 cIIQ;j 304 EAST WEBER AVENUE, THIRA FLOOR <br /> ST (299) 46 -3 95202 N41 <br /> (209) 46H-3420 <br /> PUBLIC /RECORDS RELEASE APPLICATION <br /> APPL'CAN7 <br /> � YI�.L JAre�gU51NESWAGENCY C�XY]C'Y.'y GS r^r•��'���k OQ 1 p e <br /> ADDRESS l'O CJ F s� c;i.rctCG)�!!� <br /> 1 <br /> PHONE FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE Q U ' ob TIME , <br /> (Please gve 7 to•1a business db6 from data of appll"tlon submittal) <br /> • <br /> CHECK S0X TO EXPEDITE REOUEST-$87,00 FE;E RE4UE5T PROCESSED IN 3 DUSINESS DAYS ' - <br /> SIGNATURE OF APPLICANT /( L� � DATE 03 <br /> c <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> U 57 PR G E NT9 SEARCH <br /> V 5t K - <br /> r _ <br /> O <br /> 571 <br /> N. <br /> W Iry <br /> D <br /> ENVIRONMENTAL HEALTH DIVISION FILES AX 6 <br /> UNDERGROUND TANK(LIST) CLEANUP SITE(LOP) CI HOUSING ASATEMENT {��y SCUD WASTE FA.=TY <br /> OTHER CLEANUP SITU- (NON-LOP) C1FOOD FACILITY p SOLID WASTE VEHICLE <br /> UNDCRGROUND TANK(MONITORINGMEMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR IM CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> TIERED PERMrrTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARD/CHEM TOILETS <br /> TATTOOIBODYPEIRCING ❑ PCOIjSPA - ID LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY PU13LIC�WATER <br /> (/SYSTEM ❑ OTHER(PLEASE SPECIFY A9CVE) <br /> 1- List up to ten addresses in the space above.' eofe t 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 mailto 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 /> apprnxfmateiy 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 $87.00gpr)t�r4tb�reyt <br /> 5- 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 5- Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br />