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IEr.'KHLUN - kENG �ax:rr5-o51-1ut� Ja'i a , . <br />EIJVIRONMENTAL F1EC0 PAGE 01 <br />01/04/2002 14:35 4640138 �o4ac eu /gee/J <br />DATE RECUVE0 <br />\ � SAN JOAQUIN COUNTYPUBLIC HEALTH TH SERVICES <br />ENVIRONMENTAL HEALTH niviSION <br />7 y 304 EAST WEBER AVENUE, THIRD FLOOR 7121- <br />STOCKTON CA 95202 <br />(209) 468-3420 <br />PUBLIC RECORDS RELEASE APPI-(CATION <br />I vn <br />!< APPLICANT 'T__IYl <C BUSIHESSIAGENCY <br />.— � 11 c"O AR ICC m1i - <br />ADDRESS nL Q I v -1 ""' . I <br />PHONE X351` "00 FACSIMILE -I -f -S" M-3 Yz <br />c Z-(s-�so�610 <br />TENTATIVE' APPOINTMENT PATE ttOtil cr cic) WI yr �I � TIME <br />(Please give I to 10 D"I(less day$ rom sate o1 eppliCatlon eubrolltal) <br />�% ill✓/ r5 <br />3,2 <br />�-r+ CME6K BOX TO EXPEDITE REQUEST - 599.00 FEE - REQVE5T ROCESSED IN 3 BUSINESS OA75 <br />�} <br />d <br />SIGNATURE OF APPLICANT L �-�- <br />DATE -442a--- <br />9 <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />)///❑ SOLID WASTE FACILITY <br />UNDERGROUND TANK (NON CLEANUP SITE {LOP) ❑ HOUSING ABATEMENT M SOLID WASTE VEHICLE <br />OTHER CLEANUP SITE. (NON -LORI 0 FOOD FACILITY ❑ DAIRY <br />UNDERGROUND TANK (MONITORINGIREMOVAL) ❑DOG KENNEL ❑ PKG TREATMENT PLANT <br />AXAAOOUS WASTE GENERATOR Cl CHICKEN RANCH 0 PUMPER TRUCKNAROICHEM TOILETS <br />❑ TIERED PERMITTED FACILITY O MOTPUHOTEL ❑ LAND USE APPLICATION SME* <br />Q TATTOOMODY PEIRCING ❑ POCUSPA ❑ OTHER (PLEASE SPECIFY ABOVE) <br />Q MEDICAL WASTE FACILITY Cl PUBLIC WATER SYSTEM <br />1. List up to ten aaaresses in the space above. Select the type(S) of files from the list above by checking <br />the appropriate box(es). At least one filo type MUST be selected. Fax to (209) 464-0138 or mail to tbO <br />�4d�6' indicated above <br />2- EHD will notify the applicant it 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 an by EHD staff may not be immediately available for review. A new <br />application may be submitted when the file 13 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 5x9.00 deposit prior to review. <br />S. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Applications received after 3:00 pm will ba processed the next business day. <br />CONFIRMED APPOINTMENT DATE TIME <br />DATE CONFIRMED PHONE FAX INITIALS <br />REVIEWED YES NO REVIEW DATE <br />