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10/15L2002 06: 18 707452841: — JEAN HUGHES PAGE 01 <br /> -_..__ <br /> - - " aloyoselPe" <br /> an qc <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICE <br /> ENVIRONMENTAL HEALTH DIVISION ( 1� <br /> 304 WT WEBERCK AVENUE,THIRD FLOOR IIS � <br /> 1 87 (209)4N683420CA 202 CT <br /> PUBLIC RECORDS RELEASE APPLICATIOtf 1 5 2002 <br /> APPLICANT BUSINESSIAO NCY <br /> ADDRESS D <br /> PHONE ^^l�� <br /> FACSIMILE ' <br /> TENTATIVE'APPOINTMENT DATE ( 6w - (O 11 I <br /> e ( ' TIME <br /> (PIMM at" <br /> e/e 1�'���of�idllon submittal) <br /> CHECK SOX TO EXPEDITE REOUES .fBe.So FEE-REClu T ROC 5 1 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDe CHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> AMA 1116 2 -,t4N <br /> CT S <br /> o <br /> N <br /> ENVIRONMENTAL HEALTH DIVISION FILES OCT 17 217' <br /> >S UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSINO ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FAGILnY ❑ SOLID WASTE VEHICLF <br /> UNDERGROUND TANK(MONrTORINWREMOVAL) 0 DOC)KENNEL ❑ DAIRY <br /> WHALARDOUS WASTE GENERATOR D CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> ❑ TWW10 PERMITTED FACILITY 0 MOTELMOTEL ❑ PUMPER TRUCK/YARDlCHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCINO ❑ POOV3PA O LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY t,PUBLIC WATER SYSTEM? 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ton addresses In the apace 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) 464-0176 or mall 10 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 attar 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 $69.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications recelved after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW BATE <br />