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05/01/2003 07 43 7146711008 ESS . PAGE 32 <br /> - 04' 02083/ 1p-24� 464813 rive trv.uwr•iu. r� w^ aIkl LW.UM : <br /> S SAN JOAQIUIN COUNTY i <br /> ENVIRONMENTAL HMTH DEPARTMENT <br /> MAY 0 1 2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468.3420 <br /> FP)\)I(iiII�1 �1t:iJ1 NE LTH PtASLIC RECORDS RELEASE APPLICATION 5 <br /> rAPP� r ..,r res I^CC <br /> CANT_- i �Il� DUSINES3lA6ENeY�i!lyl^r�n ' ._` :..f-.��If7- `U C� <br /> ADDRE3e7 a'700 ce-a,, C ! <br /> PHONE /�qil / 1 ��/ FACaUYLE 7 I 7(— o F <br /> Imo% <br /> TENTATIVE*APPOINfMENTDATE TWE -_.___- �°w` " <br /> miseae*0 11;-1-0 bush.$$$4ap frau data of aPpUCNkrn au��irodj' ' N <br /> In CHECK BOX To EXPEDITE REQUEST-S09.00 FEE-RE EST PROCESSED rN I MUSINI(SS 01061 ,11 ` ' + 51q <br /> +SIGNATURE OF APPLICANT OAI�E���-III-S M�`U.�-u✓�- <br /> L! IENI ikR RCH �I <br /> FILE ADDRESS pIiO6RIW ELER'IENI"RI iIaARCH <br /> 00 mfr <br /> I <br /> p P J <br /> i — <br /> ENVIRONMENTAL HEALTH DIVISION FILMS <br /> `VjUNcvROROUND TANK(UST)CLI-ANUP SITE(LOP) 0 HOVSING ABATrMITNT ❑ SCILRC WA(T9 FACILITY <br /> CIERED <br /> THER CLeANUP SITE(NON-LOP) O FOOD FACILITY O ac,LK1 WATTE IMMICLE <br /> NtWROROUNO TANK(MONrrCRINCJRCMOVAL) O DOB KENNEL C3 wiwr <br /> A7ARDOUS WASTE GENERATOR ❑ CHICKrN RANCH E7 PFiVF,ffR WCK1 PLANT <br /> PERMITTED FACILITY 0 MOTEL/HOTaL C7 Fl[11r'aR TicUCKrYARCJCNanI TdILET3 <br /> O TATTOOIBOUYPEIRCING ❑ POOL7FPA 0 UNO USa AFPLK:ATK)N BITER <br /> O MEDICAL WASTR FACILITY M OTHER(PLEASE SPECIFY) ,_.- -- <br /> 1. Ust up to ten address$$ In the space above. Select the type($) of files Irom 1111)Ibst above by oheckfng <br /> the appropriate box(es). At least one film type MUST be$elsowd. ,F (.JILL .:O: —�3 hT' <br /> address Ind(Cat$d ab4Ye. <br /> 2- END will notify the applicant if any EHD flies exist. An appointment for r$vlew will bn conflrnled <br /> approximately flue business days but no letbr than tan (10) days afterrumn�1 f application. <br /> li scheduled WIN behold for a maximum Of five business days for review. Appo' rr <br /> accordingly. <br /> 3. A file that is activoly being worked on by EHD staff may not be immediately arailsbh)fw review. A nciv <br /> application may be submitted when the file is available. <br /> 4. Any fib not returned In the Same condition as released will be reorganized by GHO a•taff at the expen.^He <br /> of the applicant. Future file reviews by the same applicant may require a$99.00 deposit prior to inview. <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 TIM! _- <br /> I <br /> DATE CONFIRMED PHONE FAX INPI IAL21 <br /> REVIEWED YES NO ^ REVIEW DATE <br /> ,vtenor <br />