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Jul 24 03 02: 46p P• 1 <br /> 07/24/2003 14:31 4640138 ENVIRONMENTAL HEALTH PAGE 01 <br /> �wu sur uuau�u <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 :. <br /> JUl_ 2 2003 (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> C:�A.P.pLICAN�F� I BUSINESSfAGENCY <br /> ADDRESS � ' � —P vr� L�4,i <br /> PHONE 0ZyS -4 .p.'.FACSIMILE / nT.�. <br /> TENTATIVE'APPOINTMENT DATE �R- ZS -q-1:9 L TIME S <br /> (Plaaaa give 7 to llbucinecs days ko date of appilcallon submlilel) 1 e <br /> y-' CHECK BOX TO EXPEDITE REQUEST-$29.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS , l <br /> l .1N��t/ 1� � <br /> SIGNATURE OF APPLICANT DATE 11 <br /> FRE ADDRESS THIS SIDE EHD STAFF USE 0 a <br /> PROGRAM ELEMENTS SEARCH <br /> Z V Z <br /> P <br /> ` O <br /> l 2- 3 v us <br /> I,� vu Lu S i <br /> )L <br /> ENVIRONMENTAL HEALTH DIVISION FILES JQ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT SOLID WASTE FACILITY <br /> ' C,THER CLEANUP SITE(NON-LOP) O FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY O MOTEL/HOTEL 0 PUMPER TRUCK/YARD/CHEM TOIL0T9 <br /> 0 TATTOO/BODY PEIRCING O POOL/SPA LAND USE APPLICATION SfTES <br /> 0 MEUICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the typo(s)of flies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The file$ <br /> will be held 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 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$89.00 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 /> Mv <br /> REVIEWED YES NO REVIEW DATE <br /> F 0.a.*za <br /> 1Rulaa] <br />