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Nov - 12 . 2002 4:06PM CONF'Q EARTH TECHNOLOGIES No. 1895 P . 1/1 <br /> OATS REGE{VEAvim' EHD LOG NUMBER <br /> SAN JQAQUIN COUNTYPU13LIC HEALTH SERVICES _ <br /> ENVIRONMENTAL HEALTH DIVISION I � ��(S �;/J�n <br /> 1 304 EAST WEBER AVENUE,THIRD FLOOR C' 1 l D <br /> O <br /> 1 STOCKTON CA 95202 N <br /> OV(209)468-3420 1 2 2002 <br /> 1t�� ,J� PUBLIC RECORDS RELEASE APPLICATION � r� IRON <br /> APPLICANTM 1c q2T St-- IAglV BUSINESSIAGFNCY CNOb� �TGtNJJpI p rgl��� i?SERVISES <br /> ADDRESS <br /> nf,I/k Y-_ C-S -612-CLC , �u\PHONE FACSIMILE.�1� 23�-d51 b FACSIMILE Q o j,73q ^6538 Q f�-!(21�11\,aE�n _ <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> nn' ()Zlsa give 7 0 b days r5SED <br /> app(IcaUon submlfia�Q <br /> CHECK BOX To EXPED E RE41ES - .00 F R �T <br /> It <br /> ROCN 3 BUSINESS Dk §IIRUNMENT HEALTH <br /> SIGNATURE OF APPLICANT PbAT)rTf SE�RVI ZS v� <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> CAW 1 0 <br /> L I T b I Sfi. <br /> lA <br /> ze L-n N <br /> It <br /> S. <br /> 3 <br /> 6 y G s• L_t�R-r�t� 5r <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATFmEN-r SOLID WASTE FAC0.rTY <br /> OTHER CLEANUP SrM(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ FKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTWHOTEL O PUMPER TRUCK/YARWCHEM TOILETS <br /> C1 TATTOO/BODY PEIRCING ❑ POOLjSPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL.WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ 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(es)- At least one file type MUST be selected. f=ax to (209) 464-0138 or mail to the <br /> address indicated 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 later than ten (10) 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 worked on by EHD staff may not be immediately available 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 reorganized by EHD staff at the expense <br /> of the applicant_ Future file reviews by the same applicant may require a $87.00 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 /> L;ONFIRMED APPOINTMENT I)ATE TIME <br /> DATE CONFIRMED PHONE FAX WrIALS <br />