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05/01/2003 07:43 7146711008 ESS PAGE 0'1 <br /> 04 0/2003 10 �4 C6401 trv'.'lruivriu.m� i ariw.o�niaii' <br /> SAN JOAQUIN COUN'_ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAY 0 1 2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> EPl1IR:iI,iPiti'JT HEALTH (209)AG94420 <br /> EAL <br /> —� PUBLIC RECORDS RELEASE APPLICATION V*#*, 5 <br /> r APaLicANr euslNESSIACENev n 1'I r°.1 - .= �� �I�� v r�J <br /> ADDREss7 fa7U0 ?ce-011 ( -/ v� t'! d/n eA 5 __ <br /> PHONE /, / & 7J'7 j!_1G FACSLWLE 7 !' ( o o .�.__. -7 l <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> (Please give 7 to 70 bualra &"ftom data of appliaatkln SULM11 A) r ' N <br /> CHECK BOX TO EXPEDITE REQUEST-209.00 FEE-RE EST PROCESSED IN 2 BUSINIis$O,4Yli <br /> -9SIGNATURE OF APPLICANT _ �_ OEE <br /> AIYJ--. <br /> FILE ADDRESS <br /> �TH 1rRTr-,r,WFUOE ONLY <br /> �I <br /> DItOGRNA ELEl11ENTF�:KIARCH <br /> 00 /1/ 1/Vq ni a AhOi <br /> w <br /> / ENVIRONMENTAL HEALTH DIVISION FILES <br /> `VIUNDEROROUND TANK(UST)CLEANUP srm(LOP) O HOUSIHG ABATEMENT 0 15OL111 WAI'TE FACILITY <br /> CUIERED <br /> THER CLaANUP SITE(NON-LOP) <br /> tN 13 FOOD FACILITY C7 4C,LK)WAL TD VIEHICLE <br /> NKGROUND TANK(MONROIRINGMEMOVAL) O 000 KENNEL CI ooavr <br /> AMOOUS WASTE GENERATOR M CHICKEN RANCH CI Pri.^TR5A"nRaNT PLANT <br /> PERMITTED FACILITY 0 MOTELMOTEL O FLNMr-alt 7TWCMARDICHIM TOILETS <br /> O TATTOOIBODYPEIRCING O FOOL7t.'•PA tT UND U44 AFPLK:ATK)N EIT95 <br /> n MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY)-- <br /> 1. Llst up to ten addresses In the space above. Select the type(s)of files from the lint above by checking <br /> the appropriate box(es). At least one file typo MUST be selsoted. or InII!)In Shm <br /> addr9M Indirated above <br /> 2. EHO will notify the applicant If any EHD files exist. An appointment for review will baa eonflrmed <br /> approximately five businoss days but no lotcrthan ton (10) days anter rlHn9ipt ltf application. The filen <br /> will be hold for a maximum of five business days for review. Appointm lean should T*scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immedlately mliloblu for rovivw. A new <br /> app icstion may be submitbed when the file 4 available. <br /> 4. Any file not returned In the same condition as released will be reorgonlre:f by CHD staff at the acPen^.:e <br /> of the applicant. Future file reviews by the some applicant may require a$89.110 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> e. Applications received after 3:00 pm will be procesaad the next bueinaae day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> I <br /> DATE CONFOkMlO PHONE PAX INnIALB I� <br /> RD YES NO ^ REVIEW DATE <br /> Yxalnot <br />