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FEB-14-2002 12:25 FROM:TWINING LPRS INC. 5592687126 TO:46401-8 F'.oui,(J01 <br /> 10-17-2000 10:281;rt FRar <br /> w�c.u,�uv.y TO 15592667126 P.02 <br /> RUS SANJOAQUIN COUNTYPUSLIC HEALTH SERVICES x�uuu <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 33 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> 466-34ZO,2000 <br /> PUBLIC RECORDS 9RELEASE APPLICATION <br /> APPLICANT I 10141"1nen rCy J <br /> BUSINESS/AGENCY���� n/� �I,�c / <br /> ADDRESS Z-'r Z � C C S <br /> PHONE <br /> FACSIMILE <br /> TENTATIVE*APPOINTMENT > --"- <br /> ENiDAI'E d 2O TIME <br /> (Please pive to business da x fr date P11"tion Submittal) <br /> ;* tFECK BOX TO EXpEprrE REQUES 7,Q�� FEB 1 <br /> QUEST ESg4S DAYS <br /> SIGNATURE OF APPLICANT _________��'��'��r��r'''"""''' <br /> DATE �y a <br /> FILE ADDRESS <br /> THIS SIDE EHO STAFF USE ONLY <br /> )D2,— PRPGRAM ELEMENT$SEARCH O <br /> r <br /> ✓ O o &I ' <br /> I <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> "IS UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILRY <br /> O UNDERCROUNDPANKSITE(NON•LOPJ 0 FOOD FACILITY ❑ <br /> > <br /> UNDERGROUND TANK(riONITORING/REMOVAL) ❑ DOG KENNEL SOUP WASTE VEHICLE <br /> TS HAZARDOUS WASTE GENERATOR ❑ CNIGKEN RANCH ❑ DAIRY <br /> 0 TIERED PERhtrrrM FACILIrY ❑ CHICKEN IAL. 0 PKG TREATMENT PLANT <br /> C TATY00MODYPEIRCING - ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> Q <br /> MEDICAL WASTE FACILITY 0 PUB LISPA O LAND USE!APPUCAnON SrrFs <br /> ❑ PUBLIC WATER 8YSTEM Q OTHER(PLEASE SPECIFY ABOVE? <br /> 1• the List up to ten addresses A the space above. Select the types) offites from the list above by Checking <br /> add appropriate <br /> sr�Ptl�bo-$At least one file type MUST bO selected. Fnx ro 2D9) 464 013$or mail to the <br /> 2. END will notify the applicant if any END Tiles exist. An appointment Ppoiays aft for review f a be Confirmed <br /> y five business days but no later than ten(10)days atter receipt of applluGon. The files <br /> Will be hold 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 END staff may not be immediately available for r <br /> appH"tiion may be submitted when the file is available. <br /> eview. Anew <br /> a. Any file not returned In the same condition as rel <br /> eased will be of the applicant Future(Ile reviews by the same applicant may require ae$87.09 dd by eposit prior at the <br /> ev review. <br /> 5 'TENTATIVE appointment dates must be confirmed with END staff. <br /> 6' Applications received after 3:00 Pm will be processed the next business <br /> day. <br /> EONFIRMED APPOINTMENT DATE <br /> TIME <br /> PATE CONFIRMED <br /> PHONE FAX INITIALS <br /> If`EVIEWED YES NO <br /> ( � w aamne REVIEW DATE <br /> TOTAL P,02 . <br />