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* 10'39ud -H101 <br /> 03129/2002 11:02 4640138 <br /> ENVIRONMENTAL HEALTH PA <br /> rn. ncrnv W u U-:,I .46M.-k.- <br /> SAN JOAQUIN COUNTYPUBL:IC HBALTH SERVICE$, fE_A J.I I i <br /> ENVIRONMENTAL HEALTH DIVISION <br /> �j 304 EAST WEBER AVENUE THIRD FLOOR <br /> STOCKTON CA 95202 02 2 9 PM 12: 3 9 <br /> (209)468-3420 <br /> l p PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT f L r C`ril BUSINESSIAGENCY <br /> AODRESSO <br /> PHONE ;5 jb-` L17 : <br /> OD <br /> FACSIMILEQQ - - <br /> TENTATIVE"APPOINTMENT DATE IA�r I 1 0 �d�_ TIME a6RY o Yl_ <br /> (Pleas*Eine 7QjUy,�EXPRCEfN <br /> rsiaem date of epplicauon submltlat) <br /> 0 T PEDITE R U T. 89.03 BUSINESS DAYS <br /> CHECK BOX 4 EX S <br /> ,SIGNATURE OF APPLICANT DATE 2- <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> Q 35�8 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> XUTANK(UST)CLEANUP SITE(LOP) 171 HOUSING ABATEsours WASTE FACILITYMENT C3 SOLID WASTE VEHICLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) © FOOD YY ❑ DAIRY <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) O DOG KEENNENNE L 0 PKG TRIZATMENT PLANS <br /> IO }HAZARDOUS WASTE GENERATOR C GHIGKE {t eNCH <br /> TEDFACILI'I•'I' O MOT6LIHOTEL' t3 PUIKPBRTRIJGKlYARDlCHEMTOILETS <br /> 0 71EREDPERMiT <br /> d TATT00180t}Y PED FACTIRCING 0 POOLISPA 10 LAND USE APPLICATION SITES <br /> ' <br /> O PUBLIC WATER SYSTEM C1 OTHER(PLEASE SPECIFY ABOVE) <br /> C7 MEDICAL WASTE FACILITY <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 box(es). At least Orta file type MUST be selected. Fax tO 209 464-0139 or mai)to the <br /> address tndi fayted atve. y ointment for review will be confirmed <br /> 2. END wili notify theapplicant if an EHO files exist. An app receipt of application. The tiles <br /> approximately five business days but no later than ten('10) days after p PP <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 a�ctive4y being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. theense <br /> 4. Any flie not returned in the same condltlon as releaSOd will be reorganized?nt $89 00 deposit staff <br /> f prior to review. <br /> of the applicant. Future file reviews by the same applicant mayrequire <br /> g, ''TENTATIVE appointment dates must be confirmed with 1;HD staff. <br /> 6. Application$received after 3:00 pm Will be processed the next business day. <br /> CONFIRM D'APPOINTMEhR GATE TIME. <br /> DATE CONFIRMED <br /> PHONE FAX IDI1TiALS <br /> REVIEWED YES No REVIEW DATE <br /> 4640138 PAGE.01 <br /> YFM�F.1•�.!'.�. <br /> lid SZ:T T Z003 6Z NUW <br /> TO/T0'd 82T0b9b60ZT 01 <br />