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o.rrnlON-ro <br /> /?SAN JOAQUIN COUNTYPUBLIC HEALTH SERV' - '.S ""LoonvMeee <br /> EN IONMENTAL HEALTH DIVISION <br /> 304'tAST WEBER AVENUE,9 THIRD FLOOR3 <br /> APR 0 3 2003 STOCKTONCA95202 <br /> (209)4683420 <br /> i WP.ONMENT 11EPUBLIC RECORDS RELEASE APPLICATION <br /> ,_ III i 0 t1"' <br /> APPLICANT -:Ahahtcy BUSINE391AGENCY %PEIA) 9nLhf2.onYn� <br /> J/yam / 06 <br /> � <br /> ADDRESS �Iw�p�fnPof_r C�t�.^,,c�Gn I�\Ot ��I (]f�17LSd�1j.1.I3_ 4y�1�� <br /> PHONE SID R // I')� I / FACSIAMILE 42s .4I7 G17�� <br /> TENTATIVE*AP>OINTMENTDATE � � 6-•�� TIME c219 7�L�20J3 3 ��S <br /> (Please give 71010 buslusee tlays from data of applh;anon aubmltlal) / • �/' <br /> 1./ HECK BOX TO EXPEDITE REQUEST-$89.00 FEE-REQUEST PROCESSED IN 3 OI.IStNEss DAYS Lai <br /> {{ QQ <br /> SIGNATURE OF APPLICANT �'I <br /> GATE 'J^0-Z) <br /> :ILE ADDRESS THIS SIDE EMD STAFF USE ONLY <br /> 10 I - PROGRAM ELEMENTS SEARCH <br /> Q T <br /> ti\I IG3 C <br /> rh <r. <br /> — — <br /> lip <br /> ENVIRONMENTAL HEALTH DIVISION FILES W <br /> UNDERGROUND TANK(US'")CLEANUP SITE(LOP) O HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> O OTHER CLEANUP SITE(NO V-LOP) ❑ FOOD FACILITY O SOLID WASTE VEHICLE <br /> }Q UNDERGROUND TANK(MOVITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> O HAZARDOUS WASTE GENERATOR O CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILI IY O MOTELIHOTEL O PUMPER rRUCK/YARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING O POOLISPA ' O LAND USE APPLICATION SITES A, <br /> ❑ MEDICAL WASTE FACILITY O ❑ OTHER(PLEASE SPECIFY ASOVEt ' Y <br /> 1. List up to ten addresses in the space above. Select the type(s I of files from the list above by checking <br /> the appropriate box(os). At least one file type MUST be selected. Fax to2091 464-0138 or mall to the. <br /> address Indicated above. <br /> 2. EHD will notify :he applicant if any EHD files exist. An appoiirment for review will be confirmed <br /> approximately five business days but no later than ten(10)daps 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 tic Immediately available for revievr. A naw <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 rile reviews by the same applicant may require a S89.00 deposit prior to review. <br /> 5. -TENTATIVE appointment dates must be confirmed with EHCI I:taff. <br /> 6. Applications re:eived after 3:00 pm will be processed the ne;c':business clay. <br /> CONFIRMED APPOIN-'MENT DATE TIME R f <br /> DATE CONFIRMED PHONE FAX INITIALS L�]a <br /> REVIEWED YI_S NO REVIEW DATE _ <br /> DI na - <br /> 04/03/03 THU 13'20 [TX/RX NO 96021 ®00'2 <br />