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001 <br /> 07/17/03 i0:1a FAX 214 630 7070 HBC ENGINEERING <br /> DATE MdaN46 Fto LOG NUMPER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTWN" <br /> -JUL 1 7 NO3 304 EAST wEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> Ij r F,j �j (209)468-3420 <br /> T 1UP)UBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT BUSINESStAqENCY <br /> ADDRESS <br /> PHONE (�wz> FACSIMILE (S21 <br /> 3 <br /> TENTATIVE*APPOINTMENT DATE t7 C9 -) -nMF_ <br /> -1 L. <br /> (Please give 7 to 10 business,days froi d eofapplicatlonsubmittal) UIf)CHECK BOX TO EXPEDITE REQU;�54T-$813.00 FEE–REQUE57 PROCESSED IN 3 BUSINESS DAYS a <br /> r <br /> SIGNATURE OF APPLICANT(X,&�_�& �Iy DATE <br /> THIS SIDE EHD STAFF USE ONLY <br /> FILE ADURLSS PROGRAM ELEMENTS SEARCH <br /> 1441 1� <br /> ID- I A • <br /> t�7 r—J U L <br /> M ri <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT M SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) d FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) 1: DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 13 PKG TREATMENT PLANT <br /> M TIERED PERMITTED FACILITY 0 MOTELfHOTEL C3 PUMPER TRUCKIYARDICHEM T04LETS <br /> C] TATTOOIBODY PEIRCING 0 POOLISPA 71 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY C1 OTHER(PLFASF SPECIFY) <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 an by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. EHD staff at the expense' <br /> 4. Any file not retumed in the same condition as released will be reorganized by <br /> of the applicant. Future file reviews by the same applicant may require a$89.00 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 <br /> DA <br /> CONFIRMED APPOINTMENT DATE TIME <br /> T_C0 11 PHONE FAX INITIALS NJ <br /> TECONFIRMED _K L- 1131 <br /> REVIEWED YES NO REVIEW DATE <br /> W208ca <br />