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10/09/2002 13:44 _ 209-5795 MODESTO ATC PAGE 0" <br /> @5-le-cEE_ Cd+13J'1 FROM TO Si9 =2E P.01 <br /> 3 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION <br /> I 304 EAST WEBER AVENUE,THIRD FLOOR <br /> S70CKTQN CA 99202 OCT 1 0 2002 <br /> (209)488-3420 <br /> II_ PUBLIC RECORDS RELEASE APPLICATION i LTH <br /> APPLICANT )k ff-Y AssoGI a..�-L5 P /SERVICES <br /> ✓\ > 1 BUSit/ (AGENCY r r� <br /> ADDRESS/ I !q _ )-.Ory— �G�'.p i,10. � � Maks & Gro 4S3S-1 <br /> PHONE /�O_/�S ��-�-�'�-� FACSIMILE (-2 171 <br /> TENTATIVE'APPOINTMENT-DATE Io TWE <br /> ip eiV*7(.110IlInt ys elle I p5CAUW sUbfry Rat) <br /> CHECK BOX TO EXPEDITE REOVE IE -RE ES7 pd ; IN 7 BUSINESS DAYS <br /> OCI <br /> ONATURE OF APPLICANT DATE <br /> FILE A16DRE13 THIS SIDE 11HO STAFF Ua6 ONLY <br /> PROGRAM ELEMHNTS STARCH <br /> \ 4 a N <br /> 1 <br /> \ �OLk <br /> V o <br /> Vim! fo E') s.. 2002 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UUU�LROROUNO TANK;UST)CLEANUP SITE(LOP) C HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> ER CLEANUP SITE(NON-LOP) U FOOD FACILITY C SOLID WASTE VEHICLE <br /> /rd UNDEROROUND TANK(MONITORING/REMOVAL) C DOG KENNEL C DAIRY <br /> Cl HAZARDOUS WASTE GENERATOR C CHICKEN RANCH O PKO TREATMENT PLANT <br /> M TIERED PERMITTED FACILITY 0 MOTELMOTEL 0 PUMPER TRVCK/YARDICHEM TOILETS <br /> O TATTOOIEOOY PEIRCING C POOL/SPA O LAND USE APPLICATION SITES <br /> G MEDICAL WASYE FACILITY C PUBLIC WATERSYSTEM O OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses In.the space above. Select the type(s)of fAes from the list above by checking <br /> the appropriate box(se). At least one file type MUST be selected. Fax to (2D911464-0136 or mall to the <br /> address IndlCal*d above. - <br /> 2. EHD will notify the applicant if any EHO 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 he!d 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 III* not returnedin the:same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future tit*reviews by the same applicant may require a$6T.00 deposit prior t0 review. <br /> 3. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received atter,3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE _ TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> I REVIEWED YES _ NO <br /> REVIEW PATE <br /> TOTAL P.01 <br />