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2-21-203 11 :54AM FRCOONAS AND ASSOCIATES 92S 374 0* P. 2 <br /> ZR03 J(10:1 �,/ i41{@I38 ENVIROrMEN7[IL HEALTH PAGE 02 <br /> - SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> FEB 2 1 2003 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD F•LOOk 11 & 3��fviENT HEALTH STOCKTON CA 9_5202 <br /> %T/SERVI,ES (209)468.3420 <br /> �{� p PUBUC RECORDS RELEASE APPLICATION <br /> APPLICANT_ rZU IX is Y•••• <br /> _,.•BUSINESSJAGFNCY �b�Ar1,� S S nr' .� <br /> �. A LQ/�.��� <br /> is <br /> ADDRESS 7-M w.S��i:i? r7_ks7, <br /> +F PNONE �'Z'�j '•�j7 -(767_O '1 Fnc'siMu.e_ qZ i- -S-7 - boZ A <br /> TENTATIVE'APPdINTMENi DAT(: i1 fCl• 1. Z120]k YU1E L;.. - - :7 .7,_03 <br /> (P4a�o aM 7 l0 10 bwlnea�liars Pram dale or appecat1I aubMin" <br /> ' !' <br /> CHECK BOX TO EXPEDITE REOVEST•$09.1)c FEE-RE ST PROCESSED IN 3 BUSINESS OATS C� <br /> "SIGNATUREOFAPPUCAlk DATE I Iy ?t,--CoS <br /> FTLC ADDRESS THIS SIM EHO STAFF Use:ONLY <br /> PROGRAM ELEMI5NYS:;f;ARCH <br /> � 5Zo �1 <br /> C wc J <br /> , ENVIRONMENTAL HEALTH DIVISION FILES <br /> uNDERGROUMO TANK(UST)CLEANUP SITE(LOPi O gOUSING ABATeMENT 17) SOUD WASTE FAGLITY <br /> ///���OTHER CLEANVP SITE(NON•LOP) ❑ FOOa FAGL.tTY o SOLID WASTE VEHiC S <br /> 8t,UNDERGROUND TANK=TLTcRINWREMOVAL) 0 OOV KENNPL ❑ DAIRY <br /> (O 115 WASTE GENERATOR O CHICKEN RMTCH 0 PKGTREATMENT PLANT <br /> TIERED PERMITTED FACILITY O MOTELMOTEI O PVMPER TRUCx/Yi0FtVrcHEM YOIl.ETB <br /> O TArrWMODY1`EIRC1NG POOLfSPA ❑ L.Wo,VSE AP r-ATIoN Sties <br /> O MEDICAL WASTt;FACILITY ��1a1I� 0 O OTHER(PLEASE SPECIFY ABOVCI <br /> 1, list Up to ten addresses 1n the space above. Select the type(s)or files from the list above by checking <br /> the appropriate box(cs)_ At least one filo type MUST be setocted. Fax to (2091 464.0173 or mail to the <br /> address indicated above. <br /> 2.. EMD will notify the applicant it any EHO tiles exlsL An appointment for review will be confirmed <br /> approximately five business days but no later than tan(10)days after mceipt of applh:alion. The fries <br /> will be held for a maximum of five business days for review. Appointments should be achvdulad <br /> accordingly. <br /> 3. A file that is activeiy being wwkod on by EHL)staff may not bo Immediately available for review_ Anew <br /> application may be submitted when the filer is available. <br /> 4. Any file not rotvrned in the same condition as reloased wilt be raorVanized by END staff at the expense <br /> of the applicant Future file reviews by the same applicant may require a 589.00 depo:;it prior to review, <br /> 5. 'TENTATIVE appolntmant dates must be cdnfirinod with EHO staff. <br /> G. Applications received after 3:00 pm will ba processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIAL$ <br /> REVIEWED YES NO REVIEW DATE - ^ <br />