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From:SanJoCo-Oakland Office 510-336-9119 Tn:Ms.Tamm Lowe Date:7/10/2002 Tm� 11:1402W Page 1 of 1 <br /> qlfSAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES JUL 10 200 <br /> ENVIRONMENTAL HEALTH DIVISION 2 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR ENVIRONMENT HEALTH <br /> STOCKTON CA 95202 <br /> (209)488-3420 PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> J A <br /> T <br /> APPLICANT � ��1yK•t µs <br /> AL, 1 D.USINfi93/AGENCY <br /> ADDRESS /i –C— ^ ''--�h>NrhEj-3 " �4�—_2•^ <br /> r4S q <br /> PHONE �)`TYZ FACSIMILE CJI —p(I q <br /> TENTATIVE*APPOINTMENT DATE 'I172I6 <br /> .1l <br /> nME 11D:DD 4.111 <br /> (Please give 7 to budnoz Eli n submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-3891. ElEgUEST PR CES 103 eU NESS DAYS <br /> SIGNATURE OF APPLICANT DATE C, I c, Zsa'Z <br /> DILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH O <br /> \ vIn <br /> 1�rr1 r ✓— <br /> \V ) 1 <br /> W�nr� *1Zn <br /> No W-C t I <br /> n✓� Wla� v p(jEt a1"e� <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> NOERaROlIND TANK NSTI CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT O SOLID WASTE PACILI Y <br /> THER CLEANUP SITE(NON-LOP) O FOOD FACILITY O SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MOPaTORING/REMOVAL) ❑ DOG KENNEL 17 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PEHMITTED FACILITY ❑ MOTELfHOTEL- 0 PUMPER TRUCK(YARD/CHfiM TOILETS <br /> 13 TATTOO/BODYPEIRCING 0 POOLISPA 13 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBUC WATER SYSTEM 13 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the types)of Rles from the list above by checking <br /> the appropriate 11ox(es). At least one file type MUST be selected. Fax to (2091464-013$or mail to the (j <br /> address ndicated above. /\ <br /> 2. EHD will notify the applicant if any EHO files exist. An appointment for review will be confirmed <br /> approximately fT✓a business days but no later than tan(10)days after receipt of application. The files <br /> will be hold 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 rotwned in the same Condition as raleased 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 /> 6. Applications received after 3:00,pm will he processed the next businasa day. <br /> A <br /> CONFIRMED APPOINTMENT DATE TIME <br /> s <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />