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FROM :LTE-Esc. � FAX NO. :7605460328 'un. 17 2002 11:3GAM Pi <br /> - utilci�vn`ve`u 1Vy �o ENVIRONMENTAL HEALTH PAGE 01 <br /> SAN JOAQUIN COUNTYPUBLiC HEALTH SERVICES En 4M KNOIR <br /> ENVIRONMENTAL. HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> OZ J( „ 1 / �.i, I: J STOCKTON CA 95202 <br /> (209)4683420 <br /> C�, PUBLIC RECORDS RELEASE APPLICATION <br /> __ <br /> APPLICANT31Q-V4..T�!{ _ INUSINESSIAGENCY CO/LS><•f'UC.f7pn (�fi`r� d- <br /> � <br /> ADDRESS 2SIG. G Escovj�clo + CA- 9202aj <br /> PHONE 760) 7r(b- q9$S FACSIMILE -76o- 74- 2$0 a, <br /> TENTATIVE*APPOINTMENT DATE_ 6/Z '/OZ TIME 7 : 00 • � <br /> (Please give Y to 1t1 bTTelne a d m��date o appllcRlian eubmiltaq <br /> CHECK BOx TO EXPEDITE R20UEST -RE 5701.1sSSN 7 BUSINESS PAYS I �� <br /> SIGNATURE OF APPLICANT �S�ll?�x DATE 61171C,2- <br /> FILA ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 3 osEI Dorado AWSI <br /> y 'DUFF 6 S'IrE224 It <br /> 0 �0 1 o S4rc� <br /> 20 'OefQ.-a-10 q1yrC4- <br /> M"!u <br /> JUN � r <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT Q SOLID WASTE FACILITY <br /> OTHER CLP_ANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINWREMOVAL) ❑ pan KENNEL b DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMrrrFD FACILITY ❑ MOTELtHOTEL ❑ PUMPER TRUCK/YARp/CHRM TOILETS <br /> C3TATTOOISODY PEIRCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM M OTHER(PLEASE SPECIFY A13OV9) <br /> 1. List up to ten addresses In the space above, Select the types) of Ries from the list above by checking <br /> the appropriate box(es). At least one file type MUST be Selected. FaxFax to(2091464-0138 or mall or��tho <br /> address indicated above.above , <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately fiva business days but no later than ten (10) days after receipt of application. The flies <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 releasbd will be reorganized by EHD staff at the expense <br /> of the appllcant• Future file reviews by the same applicant may require a $89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> B, Applicatlons received 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 DATE= <br />