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03-26-03 10:51 am From-ENVIRON EkEPvl"LLE 5106559517 T-580 13.01/01 F-65d <br /> 03/10/2UU3 eJ7:oa Yon . <br /> onr6ascaNea SAN JOAQUIN COUNTYPUBLIC HEALTH SERu. 'ES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> n 304 EAST WEBER AVENUE,THIRD FLOOR � � ON5 <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> MAR 2, 6 2MBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTr lr fJhitr4 BUSINPSSIAGENCY, �� <br /> _�A <br /> r HONE��Ic�� I-t�D FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE <br /> TIME _,rte-0 7C�C�S� <br /> (Please give 7 to 10 business drys from dale or apPliaation allbrtilttN)� <br /> CHECK BOX TQ EXPEDITE REQUEST•899.00 FEE-REQUEST PROCESSED IN 3 BUSINESS D,4Y;1 <br /> SIGNATURE OF APPLICANT DATE ,��__ - <br /> THIS 51 1E 0a'1'IJSE ONLY' <br /> -�•� <br /> FILE ADDRESS PROGRAM SLEMEN' SEARCH <br /> 72 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> <Ct� <br /> yyNNpERGROUNp TANK(UST)CLEANUP 517E(LOP) C3 HOUSING A9ATEMENT [YSOIJO WASTE FACILITY <br /> 11 -i01 ID WASIEiVEHICLE <br /> e'nT� -' CLEANUP SITE(NON-LOP) C3 FOOD FACILITY 12DAIRYGYQNOERGROUND TANK(MONITORINGIREMOVAL) l7 000 KENNEL ❑ PKI;,TRFATIAE14T PLANT <br /> U,KAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PUMPERTR'UCKIYARDICHRM TOILET-4 <br /> m-hERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ UUdD USE APPLICATION SITES <br /> 40 TATTOOIBODY PEIRCING a POOLISPA C1 OTHER(PLWSE SPECIFY ABOVE) <br /> C] MEIIICAL WASTE FACILITY <br /> I. List Up to ten addresses in the space above. Select the types) of files from thc: I EQ 38°ortm cl ta�tl sg <br /> the appropriate bOX(es). At least one file type MUST be selected. Fel to 2 B LCL!-- ----�— <br /> dress ' dic ed above <br /> 2. EHD will notify the applicant if any EHO files exist. An appointmentfor review mrill be confirmed <br /> approximately five business days but no later than <br /> an ten (10) days after <br /> ucei shoulof d li stiondT a files <br /> will be hold for a maximum of five business days for review. App <br /> accordingly y not be immedi:Itely av:ailllble far review. Anew <br /> 3. A file that is actively being worked on b EHD staff may <br /> application may be submitted when the file is available- <br /> on <br /> It the <br /> 4. Any file not recur Future file reviews diti the same)applleanteased )may requirbe e,$89.(ed by Ni D posit prior to expense <br /> of the app <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> g. Applications received after 3:00 pm will he processed the next business day. _---. <br /> Post-iNFax Note ^7671 G"' CYD' wwl'� <br /> CONFIRMED APPOINTMENT DATE To GCIiiPF�`m A7 +„(„If ( <br /> P.HO, c oopc <br /> DATE CONFIRMED Phoned — nneR o9 9 <br /> REVIEWED YES NO Fn f 510)/5rgy(�_ =`» a q&I.,_�N� <br />