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,._\- -'1i/06/04 MON 15:28 FAX 415 543 5480 TETECH EM INC SF� 0 <br /> PATE RECEIVED EHD LOG NUMBER <br /> \V_ Salo JOAQuzN OUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave P Floor Stockton,CA 95205 <br /> (209)468-3420 Fax: (209)464-0138 Web:www.co.san joaquin ca us/ehd I ��l � C ■_ <br /> DEC 6 2004 <br /> It <br /> :r- PUBLIC RECORDS RELEASE APPLICATION <br /> E�. 1 1, <br /> ppF.2(AII;�'1-f�'�li .c 0 � <br /> ""/ V �1..BUSwESslAOENCY- �'"! ( w <br /> APpL14�11NTi" <br /> ADDRESS:, /f <br /> PHONE:— -a ..'—a 75 FACSIMILE: <br /> TEIYTATN6�APPDINTMENTDATE: Tknc: <br /> (please ^-I���D <br /> allow 10 buslnms days from date of appllaatlon submlttall <br /> ❑ -I i, <br /> CHECK BOX TO EXPEDITE REQUEST-59 l=C�R�gOE$T-pROCES _❑IN 3 BUSINESS DAYS <br /> SIGNATURE OF'APPLICANT <br /> DATE <br /> Department Use Dnly <br /> 2LI(u�+GG^o/l <br /> EU <br /> FILE ADDRESS 3 / <br /> W '� %7teQGLs/ <br /> W n (i95-2 Yo <br /> OA 2/ <br /> P e' <br /> Unit 5 <br /> Unit 5 <br /> NMENTAL HEALTH DEPARTMENT FILES <br /> � <br /> FAC <br /> LITY <br /> Ef NDEROROUNO TANK NST)CLEANUP SITE(LOP) C3 HOUSING, ❑ SOLID WASTE VEHICLE <br /> 'Cf OTHER CLEANUP SITE MONdAP) 0 FOOD FACILITY SOLID WASTE VEHICLE <br /> tar'lNDERGROUND TANK(MONICWNGIREMOVAL) DOG KENNEL 0 DAIRY <br /> �' O CHICKEN RANCH EI PKGpERTRUO PLANT <br /> HAZARDOUS ER WASTE GENERATOR Ei MOTEUHOTEL ❑ PUMPERE APPLICATION SIM TOILETS <br /> O TIERED PERMITTED FACILITY O POOUSPA El LAND USE APPLICATION SITES <br /> EI TATTOOM60Y PIERCING O OTHER(PLEASE sPEcIFY) <br /> O MEDICAL WASTE FACILITY <br /> 1. List up to ten addresses In the space above. Select the type(S)of flies from the list above by checking <br /> the appropriate box(es)- At least one file type MUST be selected. Fax to(2091464 0138 or mail to the >zJ <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximately five business days but no later than ten (i o)days after recolpt 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. Afile that is actively being worked on by EHD staff may not be immediately avallable 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$93.00 deposit prior to review <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications recplved after 3:00 pm will be processed the next business day. <br /> ft71QFdfNTMi✓NT;AAIE �, t 3 TIME v <br /> llATE CONFIftMD RHONE . FAX 1NC1IgLS <br /> �t@yIEWED Yi $ <br /> NO REVIEW DATE. <br /> "PP <br />