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AUG-26-2002 15:4? MONTGOMERY WATSON Y 925 975 3412 P.01101 <br /> SA <br /> 6OAQUIN COUNTYPU13LIC HEAdWERVIC <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATIO <br /> 0 �V HoPI�INS ( �N <br /> APPLICANT10 Y BUStNESSIAGENCY [ D� <br /> ADDRESS 1✓ O '( vlAI 'Sj�k C mjc' U <br /> PHONE- 40- IX�JR"7, 'FACSIMILE - ��,�� �� <br /> TENTATIVE*APPOINTMENT DATE 5 02 TIME Z=yd ,; iERMIT/SERI ALTH <br /> (Please give 7 to 10 days f datpptl4USESS <br /> submit7a0 -" ICES <br /> CHECK BOX TO EXPEOtTE REOUYU -R UE DAYS <br /> SIGNATURE OF APPLICANT DATE PJ 7,6 D <br /> FILE AODRFss THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> D �¢ Ioln CV1 Ga <br /> 210 } <br /> N y GA ' <br /> b0 IN <br /> 40 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT )n SOLID WASTE FACILITY <br /> DC OTHER CLEANUP SITE(NON-LOP) P FOOD FACILITY �;V SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINCIREMOVAL) Q DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR Q CHICKEN RANCH � PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILfTY O MOTEL/HOTEL ,3 PUMPER TROCKJYARDlCHEM TOILETS <br /> O TATTOOIBODY PEIRCING ❑ POOLISPA P LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY �V PUBLIC WATER SYSTEM U OTHER(PLEASE SPECfFY 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 boxes} At least one file type MUST be Selected. Fax to (209) 464-0138 or mail to the <br /> address indicated above. <br /> 2. EHEI will notify the appl cant 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 maxum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively bring worked on by EHD staff may not be immediately available for review. A new <br /> appllication may be Submitted when the file is available. <br /> 4. Any file not returned lit the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Futur*file reviews by the same applicant may require a 589.00 deposit prior to review. <br /> 5. "TENTATIVE appointrif@nt 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 INITIALS <br /> o cv�cl nrrn vcc .�n ocVleur nA7C <br /> TOTAL P.01 <br />