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-Jul 02 03 08:57a ESF—SRC 916513445111 P- 2 <br /> END LDC MUMMER <br /> ,NTEE ReceIVeD, SAN JOAC.UIN COUNTY <br /> JUL 0 N 2003 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBERAVENUE,THIRD FLOOR I <br /> STOCKTON CA 95202 <br /> H (209)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICAT�t�ON�__ <br /> APPLICANT �{ M CNiI'� USINESSWGE CY <br /> t�FiratltLdw'fY =�C�.LEe�G� s <br /> ADDRESS _ — ----- <br /> (Q� �J <br /> PHONE 1 FACSIMILE - - '////' <br /> ,J� TIME /_l <br /> TENTATIVE`APPOINTTIENT DATE 777 <br /> (Plass,give 7 to 10 buslnoss days from Gate of appllc,tlon submittal) , C 5 <br /> CHECK BOX TO EXPEDITE REQUEST•589.00 F -REOU [PROCESSED IN 33 BUSINESS DA'fS 1� �(_�L,U�,�•J j 1 <br /> SIGNATURE OF APPLICANT DATE <br /> THIS SIDE END ST(�FF USI:ONLY ♦� <br /> \ FILE ADDRESS PROGRAM ELEMENTS SEARCH Q\ <br /> SW <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUS NO ABATEMENT ❑ SOLID WAS IE FAC4.ITY .- <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WAS fE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIR1 <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG 1'REAIMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILEp � �d <br /> ❑ TATTOO(BODY PEIRCINO ❑ POOL'SPA ❑ LAND USE APP ATION SITE$ -`(i <br /> ❑ MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) 'A''E' frV_/I- /y �[.S U' <br /> 1. List up t0 ten addresses In the space above. Select the type(s)of files�r,roln th': list abov>by checking S. <br /> the appropriate box(es). At least one file type MUST be selected. Fax tc1?09) 164-0138 or mail to the <br /> address indicaled 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 la':er than ten(10)days after receipt of application. The files <br /> Will be held for a maximum of five business days for review. Appointrnonts should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately av Wable 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 reorganred by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$89.00 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: clay. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INPIALS <br /> REVIEWED YES NO REVIEW DATE <br /> END'"2I <br /> LM'200] <br />