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\Geo-Phase Environmental lr- � FAX N0. : 2095690295 "tn. 15 2000 02:53HII P1 <br /> LHU LUG NUMUGN 1 /� <br /> ✓� SAN JOAQLCOUN7YPUeLlC HEALTH SERVIC I U <br /> ENVIRONMENTAL HEALTH DIVISION Re <br /> 304 EAST WEBER AVENUE,THIRD FLOOR Roe <br /> STOCKTON CA 95202 P I <br /> (209)468.3420 L <br /> UBLIC RECORDS RELEASE APPLICATION N19 <br /> Opp <br /> APPUCAHT allSINESSIAGENCYoto=Yii ��VtRor.It pCER FNTA4p T(� <br /> ADDRESS 2x-17 V01'46V 4 �$ �z�{o latRU/r'FS r,7 <br /> PHONE 2o�i- 5la�l t 3 FACSIMILE <br /> TENTATIVE'APPOINTMENTDATE TIME <br /> (Please give 7 to to business days from date of aPPGCation submittal) <br /> © CHECK BOX TO EXPEDITE REQUEST-S78.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS �-- "2000 <br /> SIGNATURE OF APPLICANT ��'�'"*'^"' 4pfya-o.-t DATE t.ol t4te,o <br /> FILE ADDRESS <br /> -229 EAsr aur uls>G t<oko raacU CA a3�5 �2a <br /> SOO <br /> tt a a s 3 aaa �a� <br /> a 9°100 <br /> P14- Ir <br /> D � <br /> ENVIRONMENTAL HEALTH DIVISION FILES JUN 23 2000 <br /> W UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 15 sono WASTE FACILITY <br /> 61 OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 13 SOLID WASTE VEHICLE <br /> Q UNDERGROUND TANK(MONITOR1NGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ® HAZARDOUS WASTE GENERATOR '0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCKIYARD/CHEM TOILETS <br /> Q TATT001600YFEIRCING ❑ POOLISPA ❑ LAPID USE APPLICATION SITES <br /> ❑ MEDICALWASTE FACItnY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) - <br /> 1. List up to ten addresses In the space above. Select the typo(s) of files from the list above by checking <br /> the appropriate boxtes). At least 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 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 Baine applicant may require a $T8.00 deposit prior to review. <br /> S. '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 />