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� I LL% SAN JOAN MCOUNTYPUBLIC HEALTH SE CES <br /> EN ONENTAL HEALTH DIVISION �j <br /> APR 1 9 2001 304 EAST WEBER AVENUE,THIRD FLOOR b <br /> STOCKTON CA 95202 <br /> ENW '.-NvJ:L(uT hIEALTH (209) 468-3420 <br /> P[ ,::^ '/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT u' ,4aI BUSINESS/AGE�NCY2,//✓IC�'�-CL/t-�/ <br /> ADDRESS ^2�lTTJo� 7 D,O O�Cat-a�-rJ�"--9�6Y <br /> PHONE FACSIMILE v //� . �1��` q�3sreceiveda <br /> TENTATIVE"APPOINTMENT DATE I'`Il�'t'�'J'O �"� G�� l TIME <br /> (Please OiVe 7 to 10 business days tram ate of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE U O <br /> "F1DDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH O <br /> Oo1 ��- <br /> S c.a12/ iv1 I � n I 1 12L C o4 <br /> iia%?, 23p/ 09 0 <br /> MAY - 1 2001 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> Ll-UNDERGROUND TANK(UST) CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> EY<THER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ❑-ONDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> CL-KAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ POOLISPA ' ' ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ 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) 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 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 FF�� INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EH 00 14 00/07/00 <br />