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LHU LOU NUMULN <br /> SAN JOAQUIN COUNTY <br /> EI IRONMENTAL HEALTH DEPAR7TcNT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR I �� <br /> STOCKTON CA 95202 <br /> (209)468.3420 <br /> PUBLIC RECORDS RELEASE-E A�tP�PLII�CAToION <br /> APPLICANT c BUSIIfN�ESSISIA,G�E�N�CY /'7�+�^"�"c��'(p <br /> ADDRESS •p J 2 �H'v/ �A"""'��� D014 <br /> PHONE - U�[7 /�+'lS S❑ FACSIMILE 9 (6 1444-0 *O <br /> TENTATIVE APPOINTMENT DATE TIME <br /> (Please give 7 to 10 business days from date of application submittal) <br /> HECK BOX TO EXPEDITE REQUEST-$89.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS "'+ 31 <br /> SIGNATURE OF APPLICANT DATE <br /> Y <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> D PJ OA-T14 INGLQlYL 6oU6 <br /> M I-C Lav w E/L <br /> ass <br /> / ENVIRONMENTAL HEALTH DIVISION FILES <br /> ❑yNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT f] SOLID WASTE FACILITY <br /> VTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY O SOLID WASTE VEHICLE <br /> n <br /> }UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> WARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> 12'TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOO/BODY PEIRCING ❑�YOOLISPA rd'LAND USE APPLICATIO SITES <br /> ❑ MEDICAL WASTE FACILITY �OTHER(PLEASE SPECIFY)52_ !J-? e- <br /> 1. <br /> - <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) 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 $89.00 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> r$ <br /> W 6V <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EHD t8424H <br /> =612003 <br />