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i1r.iS%�UJ3 1�: �s 4Ea�J1 t ErfJli?U3r1E)- i::L Ht:-L1H F='s �J_ <br /> SAN JOAQUIN COUNTY <br /> EhZfIRONMENTALHEALTH DEPARTMEis7 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR I <br /> APR 1 5 2003 STOCKTONCA95202 <br /> (209)468.3420 <br /> 1`,. PUBL.IG RECORDS RELEASE APPLICATION <br /> PERM <br /> aw <br /> �APPLICANT O �� NESSJNCY_ Z�/ <br /> ADDRESS ��jj <br /> PHONE —7� / 7— 61223 FACSIMILE__ ) 7 <br /> TENTATIVE'APPOINTMENT DATE TIME aU i� * <br /> ss e III/��� ` <br /> (Plea"give 7 to 10 businedays from date of nppllcellon submittan , I j ^ 1 <br /> CHECK BOX TO EXPEDITE REQUES f.$ FE -REQ PROCESSED IN BUSINESS DAYS L <br /> -tSIGNATURE OF APPLICANT DATE*HIS SIDE END STAFF USE <br /> FILE ADDRESS ONLY O <br /> PROGRAM ELEMENTS SEARCH <br /> bUE5 7- <br /> • <br /> ism <br /> fin r , <br /> v <br /> 4 11 ICU <br /> -17 <br /> L)i1 <br /> ENVIRONMENTAL HEALTH DIVISION FILEE$ ..A <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) EZ HOUSING ABATEMENT SOLID WASTE FACILITY <br /> J� OTHER CLEANUP SITE(NON-LOP) }SX FOOD FACILITY }$ SOLID WASTE VEHICLE <br /> �. UNDERGROUND TANK(MONITORINGIREMOVAL) }R DOG KENNEL .61 DAIRY <br /> HAZARDOUS WASTE GENERATOR ,P CHICKEN RANCH t PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 9� MOTEUHOTEL ]s PUMPER TRUCKfYARDICHEM TOILETS <br /> TATTOOMODY PEIRCING fA POOVSPA 57"LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY EL OTHER(PLEASE SPECIF`n <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least ono filo typo MUST be selected. Fax to(2091464-0138 or mail to 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 after 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. Anew <br /> application may be submitted when the file is available, <br /> 4. Any file not retumed 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$89.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> B. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE _ TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> h REVIEWED TES NO REVIEW DATE <br /> GHD� <br /> L2LWj <br />