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npr 23 2003 0:0GAM s 4096060461 p.2 <br />4640139 ENL+IRCM,£NTAL HEPL"I"H PAGE 01i <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />APR 2 3 2003 304 EAST WEBER AVENUE, THIRD FLOOR I <br />STOCKTON CA 93202 <br />":NVJRi i(NI''OFENI FIENLTH (209)4683420 <br />nr;-.�nlT,r,rpl,;rLq PUBLIC RECORDS RELEASE APPLICI4TICPN <br />APPLICANT I-?L'E-X ('=6') RUSINKS /AGENCY SJy21 yy l -r— <br />ADDRESS <br />ADDRESS /Z!Z D U 0I oT,41 L! - <br />�, <br />PHONE q0R VR3 kiu-� FACSIMILE — T9h��j, ij �) _ _ I <br />DATE : <br />TENTATfVE'APPOMn cNTDATE TIMIE <br />(Plewa "7 to 10 business days from date of Appllpatkn <br />© CHECK BOX TO EXPEDITE REQUEST. <br />ISIONATURE OF APPLICANT <br />RE-RIEQUE3T PROCMF0 IN 1 BUSINESS DA." <br />THIS 3 E11-6 STAFF USE ONLY <br />PROGRAM FLF-jAENT9 SEARCH <br />MA9111AIMMA A" <br />FIA <br />�fi1(r1 <br />��1 rT1'T1 <br />0 <br />I�NViRONMENTAL HEALTH DIVISION FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLI D WASTE FACILITY <br />OTHER CLEANUP 917E (NON -LOP) ❑ P000 FACIIIfY ❑ SOLID W158TU VEHICLE <br />UNDERGROUNDTANK (MOMTORINOaiEM OVAL) ❑ DOG KENNEL ❑ CtA11Y <br />1, p( HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ F1<G TREATMEN•r PLANT <br />ILK' ❑ TIERED PERMITTED FACILITY ❑ MOTELtHOTEL 13FUNIPER TRKf <br />I1CYARINCHGM TOILETS <br />❑ TATTO0tB00Y PORCING C1POOUSPA ClLAND USI! APPLICATION SITES <br />❑ MEDICALWA9TEPACG.IT' ❑ OTHER (PLEASE SPECIFY) --- <br />1 <br />PECIFY)-- <br />1. List up to ton addresses in the space above. Select the typa(s) of files; from the f.ln1 above by cheC:I0nlj <br />the appropriate box(es). At least one 1115e type MUST be selected. F;�x to,(20I,7j 4 ;f Llil or mall to-tJie, <br />addrese Indicated above. <br />2. EHD will notify the applicant if any END fllea: exist. An appointment for rlPriew will be Corrflurned <br />approximately flve business days but no (afar than ton (10) days after rel:rript of application. The fliln, <br />will be held for a maximum or five business days for review. Appointrnerlts s-hould be scheduled <br />accordingly. <br />3. A file that Is activelq being worked on by EHD staff may not be irrinr ataiy available for review. A new <br />application may be submitted when the file to available. <br />4. Any file not returned in the same condition as released will be reorgarliz(A b,Ir F_HID staff at the expen;►e <br />of the applicant. Future file reviews by the same applicant may require f4, ¢au.0o dloposit prior In revlow. <br />6. "TENTATIVE appointment dates must be confirmed with EHD staff. <br />B. Applicatlons received after 3:00 pm will be processed the next buainr.!.s -day. <br />CONFIRMED APPOINTMENT DATE TIME <br />DATE CONFIRMED PHONI: FAX IFffP1.gLE <br />REVIEWED Yt8 NO REVIEW DATE <br />fno .w-wa <br />32MAN <br />