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Feb 13 02 OS: 14a PIERS Environmental Svos. 408-559- 1.-24 p. l <br /> Received Feb-02-01 08:49am from CCITT G3 PIERS Envir ental page I <br /> 02-02-ZMI .W:SE#art FROM— - - TO 1-14095360294 P-01 <br /> _ � �I �.;SCAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES , J <br /> �� ENVIRONMENTAL HEALTH DIVISION / <br /> 304 EAST THIRDWEBER AVENUE, FLOOR <br /> STOCKTON CA SU02 <br /> (2D9)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT • Owl .L SUSINESSIAOENCY <br /> ADDRESS �d5 CA, C(%.Zgz <br /> PHONE LM 66. 42,$� FACSIMILE <br /> TEN7A71VE'APPOINTMEriT PATE TIME A-M• I <br /> (Plaea elvo chlye <br /> T}y�o��e bualrloae Go o from Gala of appl catlon aubAll <br /> Chit 17 < // (/TT//lj I EF B 13 :nm <br /> CHEcK BOX TO EKPEDrrE REQUEs •S FEE-REOUEBT PROCE E5& 8USINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7••13• <br /> r <br /> FILE ADDRESS THIS SIDE EHL STAFF1 ELEMENTS <br /> sL ONLY PROGRAM ELEMEN799PARCH <br /> 03 11 <br /> I1 5T. <br /> J 10 W, 1 sr <br /> 0'3 GEWIRAI.. Vi <br /> - 5f• n W3 <br /> ENVIRONMENTAL HEALTH DMSION FILES <br /> ��G•UNDERGROUND TANK(UST)CLEANUP SITE(LOP) D HOUSING ASATEME.NT IC SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) D FOOD FACILITY CO SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITOwNG/RemovAL) O 000 KENNEL C DAIRT <br /> HAZARDOUS WASTC GENERATOR C CHICKEN RANCH CI PKU TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY O MOTELIHOTEL ❑ PUMPERTRUCKIYARD/CHEM TOILETS <br /> ❑ TATTOOIROOY PEIRCING 0 PdOUSPA • - Ci LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FAdILITY O PUBLIC WATER SYSTFM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addressor in the space above. Select the type(s)of flies from the list above by cheeWng <br /> the appropriate box(as). At feast one file type MUST be selected, F i 8 <br /> addressi11610ted above <br /> 2. END will notify the applicant if any EHD tiles 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 /> 2ccorciingly. <br /> 3, A filo that is actively being worked on by EHD Staff may not be immedlately available for review. A new <br /> appilestion may lie submitted when the file la available. <br /> 4• Any ilio not returned In the,same condition as released wilt be reorgan(zod by EHD stat!at the *xpenae <br /> Of the applicant. Future fit*reviews by tit*same applicant may require a$87.00 deposit prior to ravieW. <br /> b• <br /> *TENTATIVE appointmont 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 <br /> I <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> i <br /> REVIEWED YES NO REVIEW DATE <br /> l I� uwr <br /> TUTFlL P.01 <br />