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'FROM : Ge IrInc. . FAX NO. : 2095690295 <br /> `""` " ALTH SERVICES <br /> SAN JOA UIN COUNTYPU6LIC HEC <br /> AUG 0 1 2002 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> V 304 EAST WEBER AVENUE,THIRD FLOOR ENVIRONMENT HEALTH <br /> S7 CKTON CA:Z09)468.3420zOz PER WS'PUBLIC RECORDS RELEASE APPLICATION 5 <br /> APPLICANT J7PtJL. za'-V L!4 BusiNEssIAGENCY <br /> ADDRESS-i �3 7&!2f '"Ary elec <br /> PHONE 667<pOA7y FACSIMILE <br /> /2_y_z(_=_ _"Ia4jM1i'pPI <br /> TIME <br /> TENTATIVE*APPOINTMENT DATE <br /> ntp hysi_ 'VS , <br /> �CHEGK BOX TO EXPEDITE REQUEST-$59.00 -REQUEST PROCESSED IN J DAYS J <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> USE ONLY <br /> FILE ADDRESS THIS SIDE L STAFF O <br /> PROGRAM EELEMENTS SEARCH <br /> eeer <br /> 441e. /y r <br /> 0 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ❑ SOLID WASTE FACILITY <br /> UNDERGROUND TANK(US r) <br /> CLEANUP SITE(LOP) l7 F000 FACI0 HOUSING LITY <br /> p SOLID WASTE VEHICLE <br /> 1�[OTHER CLEANUP SITE(NON-LOP) El OOG KENNEL ❑ DAIRY <br /> fyf UNDERGROUND TANK(MONITORINGIREMOVAL) O CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> `S�HAZARDOUS WASTE GENERATOR 0 CHICKEN RAN O PUMPER TRUCK/YARD7CHEM TOILETS <br /> ❑ TIERED PERMITTED FACILITY 0 POTELINOOLISPA O LAND USE APPLICATION SITES <br /> p TATTOO/BODY FORCING 0 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 0 MEDICAL WASTE FACILITY + <br /> i. List up to[en addresses in the space above. Select the type(s)of Tilos from the list above by checking <br /> the appropriate box(es). At least one filo type MUST be selected. Fax to (2091 464 0138 or mail to the <br /> address indicated above. <br /> ~ 2. EHD will notify the applicant if any EHD files exist An ap my ent for review <br /> of appw will be confirm d <br /> receilI application. The files <br /> approximately five business days but no later than ten(10days after <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that.1s 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 /> be reorganized by EHD staff 2t the expense <br /> 4. Any file not returned in the same condition as releasedanitimay require a $89.0 deposit prior to review. <br /> of the applicant. Future file reviews by the same app c <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED <br /> PHONE FAX INITIALS <br /> M <br /> REVIEWED YES _ _ - NO REVIEW DATE <br /> ry <br />