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11/01,02002 15:19 FAX 209 9480821 IM 002/002 <br /> DAFE MEMD Ee OGWDD <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERV�cSPENVIRONME=NTAL HEALTH DIVISION 304 EAST WEESER AVENUE,THIRD FLOORu USTOCKTON -3 95202 IflT <br /> (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION NOV <br /> APPLICANT '�J\�L >1{� S BU91NES5lAGENCY -tir-Sf-StiOFL-- ENVIRONMENTHEALTH <br /> ADDRESS _ZY>zs E rr ..F >i �-, rA 9SZ-o <br /> PERMIT/SERVICES <br /> PHONE 201- 9Y 8` /3 K i, FACSIMILE 20 7- 9Y fj-06 Z / <br /> TENTATIVE*APPOINTMENT DATE I b4-L- 71ME 3 <br /> (Please give 7 to 10 h uittieds days from date of Wilc2tlm Submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-587. F REQUEST PROCESSED IN 7 SUSIRa�D1t;s� q <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY o <br /> PROGRAM ELEMENTS SEARCH <br /> V ( _ UO ISln,ndn1 CA N <br /> 1. <br /> I MUM <br /> C> <br /> �A <br /> T <br /> ENVIRONMENTAL. HEALTH DIVISION FILES <br /> tat UNDERGROUND TANK(UST)CLEANUP SITE(LOP) E3TE HOUSING ABATEMENT 1L SOLID WASFAC0.1TY <br /> RI OTHER CLEANUP SITE(NON4.OP) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> RL UNDERGROUND TANK(MONrrORINGJREMOVAL) ❑ DOG KENNEL Cl DAIRY <br /> DI HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH O PKC TREATMENT PLANT <br /> PI) TIERED PERMITTED FACILITY ❑ MOTELIHOTEL PUMPER TRUCK/YARWCHEM TOILETS <br /> O TATTOOIBODY PEIRCING O-POOLISPA - 9 LAND USE APPLICATION SITES <br /> FI MEDICAL WASTE FACILITY p 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)404-0138 or mail to the <br /> iddress 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 files <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$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 INMALS <br /> REVIEWED YES NO - REVIEW DATE <br />