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FRON : Geo-Phase) Er> Irormn tal _ FRX NO. : 22095690295 pct. 16 2000 12:2GPI9 P2 <br /> HECIS WF JOAQUIN COUNTYPUBLIC HEALTH SERVICES UIULa NUMu H <br /> ENVIRONMENTAL HEALTH DIVISION <br /> OCT 16 2000 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> ENVIRONMENT HEALTH (209)468-3420 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASEAPPLICATION <br /> APPLICANT S;mz 0�2 vlTrdEBUSINESAGENCY G^e® <br /> ADDRESS A'737 tk4fe-+tA'M /idea- <br /> PHONEFACSIMILE <br /> ` ^^1 TENTATIVE"APPOINTMENT DATE 7'�E(/S - �O�fq 71ME <br /> QUG- (Please vivo 7 to 10 business days Imm date of application suhmittal} <br /> CHECK BOX TO EXPEDITE REQUEST-578.00 FEE—REQUEST PROC ED IN 3 BUSINESS DAYS <br /> �r r <br /> SIGNATURE OF APPLICANT /1 •r^ DATE <br /> FILE ADDRESS , <br /> 4 2 G r O� ' 77 <br /> E.are <br /> S <br /> ,/ ENVIRONME TAL HEALTH DIVISION FILES <br /> �+ UNOERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> 0 OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY O SOUD WASTE VEHICLE <br /> 0 UNDERGROUND TANK(MONITORINWREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR 17 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> CI TIERED PERMITTED FACILITY C) MOTFLHOTFL ❑ PUMPERTRUCKfYAROICHEM TOILETS <br /> ❑ TATTOO/BODY PEIRCING ❑ POOUSPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLiC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> I. 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(east One file type MUST be selected. Fax to(209)464.0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD tiles 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. A now <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 file reviews by the same applicant may require a $78.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be Confirmed with EHD staff. <br /> S. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> Dare CONFIRMED PHOK FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EN m u aWWO <br />