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JAN-21-03 10:41 AM 0X0X0559 +tK25 2297 P.01 <br /> 01/21/280,3 <br /> - <br /> 01/21/2003 00:53 46401' E601IP131HENTAL HEAL-rI PAGE 01 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES y <br /> ENVIRONMFNTAI.HEALTH DIVISION <br /> - 304 EAST WEBER AVENUE,THIRD FLOOR I ' <br /> STOCKTON CA 95202 <br /> JAN 2 1 2003 (209)498-3420 <br /> PUBLIC RECORDS RELEASE APPLIGATION <br /> /MPU�ANT T' `r ' �A C'f S OUSINESSiAGENCY C 1 W n .'1-P ,` <br /> ' I�ADDREE S c-25 �r_ FrCsnc j�Ytc t Cf <br /> PHONES z U,1 - "J�J ,7 /��I ._PAftlMn r-Sjl.:..j[' ` .N(nQ'WlSCk <br /> \ TENTATIVE'APPOINTMENT UA7r I ' N� ._U TIME <br /> ' (Pl�ax�nlve 71n tofiuTinoss evy�from dale a(.ppllexUen eubmRlaq <br /> GHECIS OUTS TD F)IFrntTP nrnur,Tr. ao.00 sEe ncOuilcT nooEcoco ills suillIE33 DAYS <br /> 'SIGNATURE OF APPLICANT • e7L- " { r � _� DATE ay 3 <br /> FILE ADDRESS THIS SIDE ENO STAF USD ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> �r <br /> /, i I I 1 r �.� s T { f <br /> 1: <br /> 3, l$Ul Qulw,C__LR s 2uA�S hc I�tr�n _....— <br /> 'hCNr6v1 <br /> e�NIU n ----- - — _. - <br /> UU z 1 c c. o ff <br /> 51-r, ` 1 <br /> r4v�..� ROENVINM NTAL H D SIGN FILES <br /> ` <br /> UL 33 <br /> jVNOLRGR0u'Nb <br /> "TANK(USD CLEANUP SITE(LOP) OUSING AHATFMFNT XSOUOWASTE FACILITYOTHER CLEANUP SITE(NON•LOP) CCCCCCIIiIIi FOOD FACILITY 0 GOLDWASTE VEHICLC <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) n 000 KENNEL 0 DAIRYCNHAZARDOUS WASTE GENERATOR 0 CHICKRANCH tie PKG TREATMENT PLANT <br /> TIERED P£RMITTGO FACIL" 0 MOTCLAIOTCL 0pUMMnTnUOIUVAhbtotttMTOILCTOTAT'100MODY PCIRCING O IWOUSPA 0 LANGUSCAPPLICATIONSITES <br /> MEDICAL WASTE FACILITY OTHER(PLEA94 5PECISY All <br /> Ashr tae , ._ <br /> 1. List up to (on addresses In the space above. Select the typo(s)of files from fhe list above by cheek(n� <br /> the appropriate box(es). At least one rile type MUST be sofoctod. Fax to(2091 454-0138 or mi(I to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant it any EHD files exist. An appointment for review will be confirmed <br /> approximately five buslnoss days but no later than ton(10) days aRar racolpt cf applleatlon. Tho file?, <br /> be held for a maximum of five buslnoss days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that la,actively bein0 werkvd on by EHD staff may not be Immediately available for review. A <br /> application may be submitted when the file is available.nm <br /> 4- Any fila riot returned in the came condition as released will ba raoroanited by EHD staff al the vAyvii - <br /> of the applicant. Future file rovlews by lhv some applicant may require a $89.00 doposlt prior to rovlt '" <br /> S. 'TENTATIVE.appointment dates must be confirmed with EHD staff, <br /> G. "Applications received after 3:00 pm will be processed the next business da p <br /> IN 61 %4w" MASP air <br /> F <br /> ED APPOINTMENT DATE. TIMEIRML-0 PHONE FAX INITIALS <br /> YES - NO .. REVIEW DATE s— '' <br />