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MAY-19-2003—MON 04: 13 PM TEGHNIrrN ENG. FAX No. 559 21'6 9 P. 001/09. <br /> of/1J/LoDJ 11:q1 gb4o1J CNVIKUIVeItIYIHL HC YHUt U.: <br /> DATE PREENED PAD Lab NUMEGR <br /> SAN JOAQ..IN COUM'YPUBLIG HEALTH SEK .CES <br /> ENVIRONMENTAL. HEALTH DIVISION Iwo <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)466-3420 <br /> PUBLIC RECORDS RELEASE APPLICA7I0'.4 <br /> APPLICANT h,,,;cLALL�J)�, BUSINESSIAGENCY 11nrco,--n.�j:Lt( - <br /> ADDRESS_1 z.� 1V LAOrL.L'. , s Lam% — <br /> �D <br /> HONE It FACSIMILE (SSci) 1�G'93'L`{ <br /> TENTATIVE'APPOINTMENTDATE TIME <br /> (Plana 01veT Eo 10 business days from data ofapplicallon sulmlAal) 45-J v"-(l <br /> CHECK 00x TO EXPEDITE REDDEST-589.00 FEE-REQUEST PROCESSED IN 36US1NE55 DA'r'S �! ' �• <br /> SIGNATURE OF APPLICANT ,1! — D/ITE SII`1 I q <br /> FILE ADDRESS THIS S'DE EHD STAFF USE ONLY' <br /> PROGRAM ELEiMEIY_T.S sEARCH <br /> N;a' 7G J�soD J Hoe � O .— •-- 7 <br /> Wkvuuuu L== <br /> JUN <br /> — ----- , i <br /> --_ <br /> ENVIRONMENTAL. HEALTH DIVISION FILES <br /> UNDERGROUND TANK(U5T)CLFJJIUP <br /> SITE(LOP) ❑ HOUSING ABATEMENT ❑ EOLID WA5SFE' FACILITY <br /> OTHER ROUNUP517E(NON-LOP) ❑ FOG FACILITY ❑ 40UD WIiSTEi VIEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG CENNEL D C!AIItY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ FRC TRE:TMEh"r PLANT <br /> ❑ TIRED PERh11TTED FACILITY L7 MOTEIIHOTEL ❑ f•UNIPER 1RUCl`NARDICHI'M-OILETS <br /> ❑ TATTOOIBOOY PSRCING EI POOIISPA ❑ l.4ND USE APS11.sP TON SITEEI <br /> ❑ MEDICAL WASTE FACILITY ❑ ❑ O7}ERtr•LEtwF:SPECIFY.ABDVE) <br /> 1. List up to ten addresses in the space above. Select the type($) of files:from file list above by chocking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 20P 4til.0138 or UPI'to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any END files exist. An appointment for revia'N will be confirmed <br /> approximately five business days but no Tater than ten (10)days after-,e:elpl of application. The filen <br /> will be held for a maximum of five businesll days for review. ApPointlllents E:hould be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately,vailalali for review. A now <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganiX=d b EHD staff at the expe»se <br /> of the applicant Future file reviews by the same applicant may requira;a$$f.OD 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 /> ' i <br /> DATE CONFIRMED _ PHONE- FAX IN TIAL S <br /> REVIEWED YES NO <br /> EHD t4D1-0M <br />