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_! Apr 23 2003 8: 06HM s 4086860461 F, , 2 <br /> II�AJ22(�003!11� t0 - 4640138 ENVIRONMENTAL HEiILIH <br /> �nl SAN JOAQUIN COUNTY PAGE FGE ali <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> FSPR 2 3 2003 304 EAST WEBER AVENUE, THIRD FLOOR I <br /> STOCICTON CA 93202 <br /> LNVif;. tuPo`N I HLALT 11 (209)468-3420 <br /> ' Irr-c PUBLIC RECORDS RELEASE APPLICKrION <br /> APPLICANT 13UBUIESSIAGENCYSvol M I f1 - <br /> ADDRESS <br /> /Zy00 �DoT7jL✓LI A,it Ca�,. <br /> PHONE TVR T'R�j 5L5L.'�� y <br /> _FA.CSIMME-Da 767 7—la) <br /> TENTATNI"APPOINT1118NTDATE TIME _ _ iJ l W J/ <br /> (Plewa Elva I to 10 hueineu Jaya from date McPpfloatbn eW]mrtt41) <br /> CHECK 130)(TO E1tPEDU E REQUEST• e9.Ge Pei–REQUEST PROCESSED IN 3 BUSINESS 0A.V3 �•' 3' <br /> -tSIGNATURE OF APPLICANT w/ p <br /> DATE - —-- <br /> PILE ADDRESS THIS SIDE EHD 3TAFF USE ONLY O <br /> \\ 3O _ PROGRAM ELFMENTn SEARCH <br /> uici <br /> U) <br /> U.V <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP NITS(NON-LOP) ❑ FOOD FACILITY ❑ 80LID WASTE VUHICLE <br /> UNDERGROUND TANK(MONITORINGIREM OVAL) ❑ DOG"NNEL ❑ CWt?y <br /> A( HAZARDOUS WASTE GENERATOR (3 CHICKEN RANCH ❑ FXG TREATMENT PLANT <br /> ❑ TIERED PERMrTTED FACILITY ❑ PAOTELIf10TEL ❑ PUMPER TRUCKIYARDICHRM T09LETS <br /> ❑ TATTOOIBODY PfIRGIW ❑ POOL)SPA ❑ LANI)USF!APPLICATION Sf ES <br /> ❑ MEDICAL WASTE PACILT' ❑ OTHRR(PLEASE SPECIFY)_—______ <br /> 1. List up to ten addresses In the space above. Select the type(a) of files+frnm the tl:51 above by checking. <br /> the appropriate box(es). At least one file type MUST be selected. FaxLo Q(i��-Q]�8 or mall to iiia, <br /> address Indicated above <br /> 2. EHD will notify the applicant H any EHD filen exist. An appointment far riwiew will be confllmed <br /> approximately five business days but no later than ten (10) days after revAipt of aPrAlcaUon. The fllml <br /> will be held for a maximum or five business days for review. Appofntrmerlts should be scheduled <br /> accordingly. <br /> 3. Afire thefts actively being worked on by EHD staff may not be irltmedlatoly available for revlew. A now <br /> application may be submitted when the file to available. <br /> 4. Any file not returned in the same condition as released will be reorganlztA bqr EHJD staff at the exparols <br /> of the applicant. Future flls reviews by the Same applicant may require t: 06',00 deposit prior to rsvltrw. <br /> b. `TENTATIVE appointment dates must be confirmed with EHD Staff. <br /> 6. Applications re"Ivad after 3:00 pm will be processed the next buainaris day. <br /> CON P RMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED ?HONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EN <br /> ]pt/ION <br />