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P.01 <br /> FR <br /> V SAN ,IOAQUIN COUNTYPUBLIC HEALTH SERVICES 1 1 <br /> JUL 2 6 2000 ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENT HEALTH 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95242 <br /> PERMITISERVICES (209)469-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT `atNEssraGElvtr <br /> ADDRESS rD 1F D2 (��VGpN� / i�� VC' �7a I T(� Ir�� - ( <br /> PHONE��� � - /�7•—�J FACSIL14E 1 4U-3--, <br /> `J L <br /> TE=NTATIVE'APPOarrb&FNT DATF TmtE <br /> (Plc give 7 10 10 bnSIMXX daYs traN cagy of applica I=Submfttali <br /> CHECK 60X 70 EXPEDITE REQUEST-:518,00 FEE— <br /> (REQUEST PROCESSED IN J BUSINESS DAYS <br /> SIGNATURE OF APPLICANTp l'y ' A I' DATE] <br /> FILE AI]DRESS THIS 50L EHD STAFF U94 ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> l�FF — <br /> Lva2_ 6LLP I.Nt h <br /> i i 5 0 <br /> G7 0C viN <br /> -4a 4OW10 <br /> EM/IRONMENTAL YIF.ALTH DIVISION FILES <br /> i4 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Cl HOMING ABATFMEl r M SOLID WASTE FACILITY <br /> C OTHEK CLEANUP SITE(NOH-LOP) 0 FOOD FACILITY O SOLID WASTE VEHICLE <br /> C UNDERGROUND TANK(IdONrr=RGfREMOVAL) n DOG KENNEL CDAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH 4 PK<i TR£ATMFNT PLANT <br /> ❑ TIERED PERMITTED FACILITY - O MOTEU MOTEL O PUMPER TRUCKIYARD(CHEY TOILETS <br /> ❑ TAT700f60DY PEIRCUiG 0 POOLISPA C LAND USE APPLICATION SIT" <br /> C MEDICAL WASTE FACILITY d PUBLICWATER$YSTEII I] OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addrassas In the space above. Select the types) of files from tho fist>bave by checking <br /> the appropriate box(es). At least one file type MUST be selected- Fax to(2091 464-0138 yr*Hall to the <br /> addrr~<a indicated above <br /> 2. ETD will notify the applicant if any EHD fifes 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 businass days for review. Appointments should tie scheduled <br /> accordingly. <br /> 3- A file that is actively being worked on by FKD staff may not be immediately available for review. Anew <br /> application may be submitted when the file is available. <br /> 4_ Any fila not retumed In the salve condition as roloaead wilt be reorganlzod by END staff at the expenso <br /> of the applicant Future fllb reviews by the same applicant may require a$78.00 deposit prior to review. <br /> c -TeuTATIVE appointment dates must ba oanfirmed with EHD staff. <br /> 6. AppllCatlonS received after 3A0 pm will be processed the next business day. <br /> L <br /> D APPOINTMENT DATE TIMERMED PHONE FAX INITIALS <br /> YES NO REVIEW DATE <br /> TOTFL P.01 <br />