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�SJ9/12/2005 13:22 9163667 URS CDNSTRUCTID PAGE 01/01 <br /> 04/03/2003 14:31 464013 ENVIR"ENTAL n PAGE 01 <br /> DATE RECENm UM Log rsRmm <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> U 304 EAST WEBER AVENUE,THIRDFLOOR <br /> STOCKTON <br /> (209)" CA 95202 1005 SEP 12 PM 2t 0 <br /> (S 4fiLEA <br /> PUBLIC RECORDS RELEASE APPUSLT1P,N <br /> �L /I l (.1 l'iRCtv;iEtdTAL <br /> APPLICANT A ^' SUSINESSlAGENCY U <br /> ADDRESS 1a1-IS SLfA7t i VW I <br /> HONE I�-�-� I "��.n-� FACSIMILE c! 19-39--70 <br /> VE' u` <br /> TENTATIAPPOINTMENT DATE 1J' /ln1 F O'S-11 CC) TIME NV <br /> (Pleas*give 7 to 10lwslness days from date of applioation submittal) <br /> EST <br /> CHECK SOX TO D(PEDITE REQU • FEE-REQUEST PROCESSED IN 0I3USIVESS DAYS �•e' <br /> SIGNATURE OF APPLICANT _ DATE <br /> Fid ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> V S i T- "A -177 Pc lusT v1 <br /> i) <br /> aU <br /> { s <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION FILES ' <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOPI ❑ HOUSING ABATEMENT XSOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON•LOP) ❑ FOOD FACMY XSOLID WASTE VEHICLE <br /> DC UNDERGROUND TANK(MONMORMWREMOVAL) ❑ DOG KENNEL q DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH O PNG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELMOTEL q PUMPER TRUCIVYARDlCHEM TOILETS <br /> ❑ TATTDOlnODY PERCRIG C] POOUSPA C3 LAND USE APPLICATION SUES <br /> ❑ MEDICAL WASTE FACIJTY Int7 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the types) of files from the list above by checkin <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(2091464-0138 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 on by EHD staff may not be immediately available for review. A no <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$89.00 deposit prior to Teview. <br /> 5. 'TENTATIVE appoin nleni dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 Pm will be processed the next business day_ <br /> Post-it'Fax Note 77871 o" -0 "gyp <br /> CONFIRMED APPOINTMENT DATE r• I r'°'" poo Cd <br /> C&A)WL Ca EHD <br /> DATE CONFIRMED P,,., °• X1(08- <br />