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LIJ <br /> JU <br /> L) SAN JOA4dJIN COUNTYPUBLIC HEALTH SL_ .diCE5 U 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> JUL 6 2001 v 304 EAST WEBER AVENUE,THIRD FLOOR � -S <br /> STOCKTON CA 95202 <br /> f ' " rlt.if (209) 468-3420 0 <br /> r PUBLIC RECORDS RELEASE IAP /PLICATION I <br /> APPLICANT Cl.t� "'( 41 F-�� BUSINESS/AGENCY IIV/�0 /•'1 'pvf'rOn W^c'.'n�-C.�__ <br /> ADDRESS--Z-2- N, I-),9 $6ko � L,,,e Lod Cfl'q 5-24-1 x / <br /> PHONE -201 `3 6 -) -2 -761 FACSIMILE_ Z d / 3(? �7 �Z/2/Az �C <br /> TENTATIVE"APPOINTMENT DATE= -7- / -7 - 200 ) TIME _ r: M <br /> (Please give 7 to 10 business days from dale o(application submittal) <br /> L1 /TS 3, CT/ <br /> f7 CHECK BOX TO EXPEDITE REQUEST-$ F -RE UL" PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> 7- 62og1 <br /> j FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> q)) PROGRAM ELEMENTS SEARCH <br /> 1-7 20 S• 1 r S4n SO4r h� �O P !` <br /> p 5, cr1 �c _C . , f <br /> nt] kr6 O (re c <br /> +�, <br /> -r«)-hE CS <br /> Atil <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> OUNDr RGROUND TANK(UST) CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> THER CLEANUP,SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL O DAIRY <br /> AZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ POOUSPA - - ❑ 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. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approxidnately 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 thatis 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 $87.00 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 /> EH 00 14-08,07,00 <br />