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IL <br /> SAN JOAr3UIN COUNTYPUBLIC HEALTH SER`...-ES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> U 304 EAST WEBER AVENUE,THIRD FLOOR JAN 14 2000 <br /> STOCKTON CA 95202 -NViROmMENTAL HEALTH <br /> (los)4eea42O <br /> PUBLIC RECORDS RELEASE APPLICATION r'EH�"I'T`/ SERVICES <br /> APPLICANT-== �4P_ —pB�US)NESSIAGENCY QA.� YID\ '�' L�,--E H^�4t��pA(py .�Pt. <br /> ADDRESS (n�� NR��. 17La�yS,I1 3 �.,LSX714Y�-r�rCPI �1�15_�'t r� /� <br /> PHONE �'II:��""�o�'I— �aFACSIMILE <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> JPlaaaa prvc 7 to 10 businoa drys from dote of application aubMillal) <br /> In CHECK BOX TO EXPEDITE REQUEST-379.00 FEE-REOUE PROCESSED IN 3 USINESS DAYS r— <br /> SIGNATURE OF APPLICANT _ DATE C&DOD v <br /> FILE ADDRESS <br /> -5 G., z. <br /> HoWle'n <br /> C <br /> �D <br /> ENVIRONMENTAL HEALTH DIVISION FILES I-2D—O O <br /> elu aXRGROUND TANK JUST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> 0 OTHER CLEANUP SITE(NON-LDP) 0 FOOD FACILITY 0 SOLID WAOTE VEHICLE <br /> :}l NOERGROUND TANK(MONITORINWREMOVAL) O DOGKENNEL CI DAIRY <br /> ti!"HA7ARDOUS WASTE GENERATOR D CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED PERNITTEDFACRJTY 0 MOTELRIOTEL O POMPERTRUCK/YARDiCHENTOtLETS <br /> 0 TATTOOIBOOYPEIRCING O POOUSPA 0 LAND USE APPLICATION SITES <br /> • MEOICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM 17 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 box(es)- At least one file type MUST be selected. FAX to(2091 4W-0138 or mail tD the <br /> aadi(Less indicated above. <br /> 2. EHD will notify the applicant If any EHO fites exist. An appoinimont for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The tiles <br /> will be held fora maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO staff may not be Immediately available for review. A new <br /> application may be submitted when the Ole Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHO staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a S78.00 deposit prior to review- <br /> 'TENTATIVE appoints, nt dates must be confirmed with END staff. <br /> 6. Applications received after 3:00 pm wilt be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEWDATE <br /> w w wap <br /> TOTAL P.D2 <br />