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b3/30/2001 17:21 209-579- -'25 NIODESTO ATC HA6E 01 <br /> _ _... 'Wool, TO `.,�/ 5?92225 P-02 <br /> _. 0.3-01-2000 09:45AM FRO:': —..awocn <br /> SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 85202 <br /> (209)463.3420 <br /> PUBLIC RECORDS RELEASE. APPLICATION <br /> APPLICANT� tom`s " RUSINESsrAGENCY - --- <br /> ADDRESS (� LC LA_',--PQ �Vv% $moi }�. �� - 4S 3 S�I <br /> PHONE Z�°1 S L2'LI _ rFACSIMILE Z�9 SJ ZZ2 S <br /> TENTAI IVE'APPOINTMENT DAIS �1 SI�{ TIME -- <br /> {PleSse give 7 to 90 busingvs days from date of app11C&60n nubmiria') <br /> CHECK BOX TO EXPEDITE BEQUEST-$78.00 FE!£/-REQUEST PROCESSED IN 0 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT /u vim"` �'--" _ DATE <br /> FILE ADORES$ <br /> f41 syCL-1 e�a�� LV• <br /> tY.kOvi <br /> !cwt► moo. s enc, __..,.�.... - 5.�. K—._. <br /> ( 3 3 W c>�a c lotsoc� S hoc K 4p� ,3 11 IS <br /> 5 <br /> � ENVIRONMENTAL HEALTH DIVISION FILES <br /> / <br /> gat UNDERGROUND TANK(UST)CLEANUP SITE(;.OP) ❑ HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> C3 OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY 0 SOLID WASTE VE?il[:LE I <br /> )IQ UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL C3 DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH A PKG TREATMENT PLANT <br /> 0 TIERF-0 PERrdrrTED FACILITY O MOTELJNOTEL C3 PUMPER TRUCKIYARDICHEM TOILETS <br /> n TATTOOISOIDY PEtRCING ❑ PQOUSPA Q LAND USE APPLICATION SITES <br /> 0 MEDICAL wASTE FACILITY Q PUBLIC WATER SYSTEM (-'3 OTHER(PLEASE SPECIFY 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 box(as). At least.one file type MUST be selected. Fax t5(2Q21 464.0138 or mlil t4 tht: <br /> AOrg2 tndicateci, Q„v_@, <br /> 2. EHD will notify the applicant If any EHD tiles exist. An appointment for review will be confirrned <br /> approximately five business days but no later than ten (1D)days After receipt of application. The files <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 actively being wor0d on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is avallab!e. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $78.00 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 day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONIw FAX INITIALS <br /> LREVIEWED YES NO �. REVIEW DATE <br /> �h Ob 1 o��b�po <br /> TOTAL P-02 <br />