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05/01/2003 07:43 7146711008 <br /> -- SS <br /> D4530/1003 1,0 <I4, `,464313 Lill,11.Uivau.in� ��- PP GE 32 <br /> nIM11M XUMY�X: <br /> 1.,. [[1! SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAY O 1 2003 3D4 EAST WEBER AVENUE,THIRD FLOG IR <br /> STOCKTON CA 95202 <br /> ElVlki,,il" 41 H (209)488.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION Vv 5 <br /> 7 f <br /> ('APPLICANT u-2.J } 1"1 Ahus(NESS(AGENGN rl vl"f'v n. _ 7�?�^`�✓`7' (r r (' <br /> ADDRl113$ x'700 CI-Clf q -r ✓l r'l �n <br /> PHONE./l 1 (e7 71-,3 ( 401 ' FAC3ULE `I �— 1 0 0 _ I' ) <br /> TENTATIVE•APPOIWMENTDATE TIME <br /> (Please plus 7 W 10 buslnsu drrys from Hats of applioNbn subn,Inmlj'—,--N- 2 <br /> CHECK BOX To 9XIM11i REQUESTpfaiLto FLEE-RE CST PROCESSED IN f BUSINESS 44Y5 11/ + ' + 1 <br /> rS1GNATUREOFAPPLICANTDA1E^^l_IIISv� _y�—__^ <br /> FILE ADDRESS �• 7 J Gi I��1T�ti;A i�Ufi£ONLYI <br /> PROCRIW ELEl11ENTI!IMARCH <br /> �// ENVIRONMENTAL HEALTH DIVISION FILES <br /> `p UNDIEROROUND TANK(UST)CL2ANUP SITE(LOP) O HOVSIIIG ABATEMRNT ❑ 5OU D WAI'.TS FACILITY <br /> flUtli <br /> THER CLEANUP SITE(MON-LCP) ❑ FOOD FACILITY O BCLH1 WA!TE VEHICLE <br /> NONROROUND TANK(MONITOIRINWREMCNAL) O 000 KENNEL C D/iour <br /> AZARDOUS WASTE GENERATOR L3CHICKRN RANCH ❑ PMi:;TRiATMaH T PLANT <br /> PERMITTED FACILITY 0 MOTELIHOTEL 13 PLN7-111R T WCKIYARDfCNEA1 TOILETS <br /> O TATTOOf0ODYPEIRCWG o POOL/rPA ❑ LANIIU89ArPLN:ATIOHarra! <br /> ❑ MEDICAL WASTE FACILnY M OTHER(PLEAS!SPECIFY)__...-.._.._-... <br /> t. List up to ten addresses In the space above. Select the type(s) of flies Irom th o Ilut elbove by checking <br /> the appropriate box(es). At least one floe typo MUST be selected. f ,Jlt,(;�QQ�4�f�aL3$ yr mf Ia I to t <br /> Eddrom Indicated above, <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for rovlew will be confirmed <br /> approximately live business days but no lator than ten (10) days after rlHLnlpt of applicadon. The file.m. <br /> will be held for a maximum of five business days for review. Appointmekin(M ortould tK scheduled <br /> accordingly. <br /> 3. A fife that is actively being worked on by EHD staff may not be immedlnteNy aYailabin foe revifrw. A nmrvv <br /> application may be submitted when the file 1,;available. <br /> 4. Any file not returned In the Same condition as released will be reorganized by CHD otaff at the expense <br /> of the applicant. Future file reviews by the some applicant may require a$89.00 deposit prior to roviow. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next bunineslt day. <br /> CONFIRMED APPOINTMENT DATE TIM! <br /> OATS OONFIRMIRD PHONE FAX IN"IALS i <br /> j REVIEWED YES NO REVIEW DATE.,... <br /> >xvaot <br />