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Feb 13 02 09: 14a PIERS Environmental Svcs. 408-559-L_24 N• 1 <br /> Received Feb-02-01 08:49am from CCITT G3 PIERS Envir cental page 1 <br /> 02-02-2001 .08:56'AN FROM'' - TO ` ,40e5360294 P.01 <br /> w�uuL�rv4V -� r'--- LUU kWh Wt <br /> n ��I $qN JOAQUIN COUN7YPUBLIC HEALTH SERVICES J� <br /> ENVIRONMENTAL HEALTH 01VISION / <br /> EB l 3 2e�� 304 EAST STOCKTON CA 8=THIRD FLOOR <br /> 02 <br /> (209)460.3420 <br /> rnIVIF 1,!,ll'�--' T PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT f1� �' �Owt fSUSINES910ENCY <br /> ADDRESS 3"30 s. BnSG 'V1r. C rJ'1 �Oslr C.� g5�2g����11 <br /> PHONE(� 4�.` (y� 66G• 3S FACSIMILE '�L•C.n -1 <br /> TENTATIVE'APPOINTMENT DATE N'S'A•F. TIME M' • <br /> A• <br /> (PI•osa 91va T}o 10 buz1$eayu from dela of apPl eaeon aubmltta0 <br /> /�Id0 /T5 1 FFR 13 1011 <br /> © CHEcK BOX TO EXPEOTTE REQUE3 .S FEE-REQUEST PROCf33&N 6USINESSDAYS <br /> SIGNATURE OF APPLICANT—A—;4, <br /> PPLICAN DATE <br /> FILE ADDRESS TH13 SI02 e110 3TAPP USE ONLY <br /> PROGRAM ELEMENTSSPARCH A <br /> IJ ST. <br /> 1 <br /> IO W• 1 9T <br /> i0slA Cwml- `tt-. <br /> • 5 C. _„i <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> �L UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT G 30UP WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHfCLE <br /> UNDERGROUND TANK(MONITOWNIGIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> HAZARDOUS WA9TC GENERATOR O CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY 0 MOTEUHOTEL In PUMPER TRUWVYARD/CHEM TOILETS <br /> ❑ TATTOO/aOQY PEIRCING D FdOLMPA - M LAND USE APPLICATION SRES <br /> 0 MEDICAL WASTE FACILITY 0 PUBLIC WATER ZYSnM ❑ OTHER(PLEASE!SPGCiFYABOVE) <br /> 1. List up to tan addrossos in the space above. Select the type(s)of files from the list above by chockieng <br /> the appropriate box(es). At least one file type MUST be selected, 84 <br /> Fax to=214 -0138gr mail to th <br /> address IndlCal9d above <br /> 2. EHD will notify the applicant If any EHD tiles exist. An appointmant for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of appilcatlon.•The otos <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> aDcordingly. <br /> 3. Aide that is actively being worked on by EHD staff may not be immediately available for review. A now <br /> apPlleation may be submitted when the file is available. <br /> 4. Any filo not returned In thesamo condition as rClcased will be reorganized by EHD staff at the oxpsoae <br /> of the applicant. Future file reviews by the same applicant may require m$87.00 deposit prior to review, <br /> s• 'TENTATIVE appolntmorit dates must be conflrmed with EHD staff. <br /> 6• Applications rece{ved after 3:00 pm will be processed the noxi business day, <br /> CONFIRMED APPOINTMENT DATE TIME <br /> i <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> i <br /> REVIEWED YES NO REVIEW.DATE, <br /> � 11 IIR1N <br /> TDTFIL P.01 <br />