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/5102 TUE 15:37 FAX 209 4734818 MAYALL LAW OFFICE 0 002 <br /> AI L HL,.LIVLU <br /> SAN JOAQG XCOUNTYPUBLIC HEALTH SERVICE$ `, EHU SOG RUMaFR <br /> ENVIRONMENTAL HEALTH DIVISION �i�j�� ��� JJ <br /> ,4 v 304 EAST WEBER AVENUE,THIRD FLOOR VIP- r%or 60 � <br /> STOCKrONCA95202OCT 1 6 2002 <br /> 7 (209)466-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION ENVI1_'0Ni0ENT IULTh <br /> APPLICANT IVU_ Ctl�' (k/4 S BUSINESSfAGENCY .80 11, ✓� E' � <br /> ADDRESS/ 71fS3 G. .{ C�e,d � <br /> ' rAA Pt0cr S'� ,C/�. <br /> _ <br /> PHONE ( Z09� 4-7 - s�Z FACSIMILE Z0 q_/3- C4 'a If A41.TENTATIVE,APPOINTMENT DATE D2 1 %3v TIME F� H <br /> (Please give]fo10 usl ) GCi • <br /> CHECK BOX TO EXPEDITE REQUEST-509.90 FEE- EEQ5TPR;9;SED 8U51NE5SDAYSATP /' �,..•,,,� <br /> SIGNATURE OF APPLICANT �l / //h�/� DATE O <br /> I FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> I' PROGRAM ELEMENTS SEARCH <br /> ' GIS4 A dOI 2. <br /> 2cy r �5 Sf. Co 00 asW <br /> J 236 I�vr G . l- 00d ISLisis <br /> U2 L A _ <br /> J ( C7" S . SU f, (m c 5 53 <br /> v I I r { `n ` 4 C?n 0 L4. 5 <br /> S). - F-A CDOO { 6 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ,W J/NOLRGROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> PI OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> O'UNDERGROUNO TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL - ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ POOL/SPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. 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 least one file type MUST be selected. Fax to (209)464-0138 or mail to the <br /> address indicated above. I <br /> 2. EHD will notify the applicant if any EHD 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 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 new <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 $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 be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE '* <br />