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.a <br /> £0'3rJFid "1ti101 .I,.k To 6581£300 F.01 <br /> UU=DLFVrraz <br /> SAN JOAQUJN COUNTYPUBLIC HEALTH SERVICES <br /> E VIRONMENTAL HEALTH DIVISION <br /> AUG 1 3 2001 30 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)4GS3420 <br /> j PUBLIC;RECORDS RELEASE. APPLICATION <br /> APPLICANT �a InC�P_SZ BUSINFSS)AGENCY <br /> ADDRESS <br /> P.i ONE �6150)"1"?�}`7.s77.11r 1' FAC5IMULE ✓ ` ~ �82 <br /> TENTATIVE"APPOINTMENT 04TE TIME <br /> (Pknsa Si3e Tto 10 busin"6(%aYs Imm data d uPVrQatlon SU4MifW) <br /> C�'f✓f7S 3/ �� � 1 <br /> CHECK 8OX TO EXPEDITE FtEgUEST•5$7:00 FfiE-REQUEST PROCESSEA( 0 BUSINESS DA1's <br /> -SIGNATURE OF APPLICANT DATE <br /> 1=7LC ADDRESS' THIS SIDE,EHD STAFF USE ONL <br /> PROGRAM ELEMENTS SEARCH <br /> rn clCat_ £ rv.Lv LW4 <br /> t Ott W tLcNn z �5a Z <br /> -. S NR�i 's�iv� -eoGi�tDe.9 <br /> > t tolzx S tt7 €� >m�l -2 k <br /> E5cr2- tlboe:r -N z/11, z <br /> ENVlRONMENTALHEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP$ITE(LRP) B HOUSING ADATENENT 0 SOLIO WASTE FACILITY <br /> OTHER CLEANUP 817E(NON-LOP) D FOOD FACILITY Q SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORWG)REMDVALj 0 DOG KENNEL 0 DAIRY <br /> G HAZARDOUS WASTE GENERATOR ❑ CHtGNEH RANCH O PKG TREATMENT PLANT' <br /> G TIERED PERMITTED FACILYTY - O MOTEIJHOTEL ED PUMPER TRUCKlYARVICK5M TOILETS <br /> Q TATTOOMODYPEIRCING 0 POOL)SPA ' ' ' O LAND USE APPLICATION SITE$ <br /> G mrnDTOAL WASTE FAGIUTY ❑ PUBLIC WATER SYSTEM - D OTHER(PLEASE SPECIFY A$OVE) <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_ Fax to (209)4 &136 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the appiicanf it any FHP files exist. An appointment for review will be Confirmed <br /> approximately five businessdays but no later than ten (10)days after receipt of application. The files <br /> will be held fora 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 re,Views by the same applicant may require a$87.00 dapoSit prior to review, <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received atter 3:60 pm will be pracassed the next business day- <br /> CONFIRMED APPOINTMENT DATE. _ TIME <br /> DATE CONFIRMED PHONE FAX INITGALS. <br /> I <br /> R41FWER YES NO REVIEW DATE <br /> Fri 00 ld a !p0 —'- <br /> TDTRL F.01 <br />