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____ ___Z7/30/2002 13:48 20945711'EIAGE STOCKTON PAGE 02/02 <br /> eATE ftEG `/ED Q' / <br /> SAN JOAQUIN GOUNTYPUBLIC HEALTH SER'vIGES <br /> ��V ` <br /> E VIRONMENTAL HEALTH DIVISION <br /> 4 EAST WEBER AVENUE THIRD Ff- <br /> w S70CKTON CA 95202 >{` <br /> �s wl (209) 468-3420 .. u G6 <br /> PUBLIC RECORDS RELEASE APPLICATION NE <br /> APPLICANT BUSINESS <br /> IAGENCY <br /> ADDRESS <br /> PHONE ao9) ylo /0a6 FACSIMILE �'// <br /> TENTATIVE'APPOINTMENT DATE mon(JUt V ?IME _ ID'O0 - <br /> (Pleasa alVe 7 t70 basins a da from data of ap licatlon submittal) <br /> CHECK BOX 70 EXPEDITE ftEQUE -S 0.00 FEE ;U RO 1�1USINES:i DAYS <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> FILE ADDRESS <br /> Lin <br /> c ren <br /> .� a n <br /> Vti � <br /> \1l <br /> ENVIRONMENTAL HEALTH DIVISION FILES #womb <br /> Io42 11 . I Lxv� <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ElHOUSING ABATEMENT CI SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY EI s0❑D WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) O DOG KENNEL CI DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH C) PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIF.:ING ❑ POOL/SPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> I 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 20 464-0139 or mail to t <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 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 $78.00 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 APPOINTMENT DATE TIME T <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED <br /> Yr <br /> NO REVIEW DATE <br /> F}+ <br /> 00 a 01MVN <br />