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JUN-05-02 03 :28 PM ,P.01 <br /> wic n:c:,pj j EtNIP.l7hVEhTA, h� H FD) ll <br /> w t . <br /> *N JOAQUiN COUNTYPU13LIC HEALTH SERVICES � �F) <br /> ENVIRONMENTAL HEALTH DiVISiO <br /> 304 EAST WEBER AVENUE,THiRD FLOOk <br /> STOCKTON CA 95202 JUN 0 5 2002 <br /> 469-3420 <br /> PUBLIC RECORDS APPLICATION ENVIRONMENT HEALTH <br /> - -_ - RMiT �Fl�vtrES <br /> 'W iCA1+T ,A T r-k—IRUUSiNESSiAGENCY E ___ <br /> ADDRESSI� <br /> PH CNE <br /> -_'y � FACSIMILE / ©Q 3l-. <br /> TENTATf V> 'ApPOnITr tERTDATE�� V ' O� TIME <br /> IPIa1390 give 7 to 10 business days}rorll Odie pf•PpIicAt( n s bcnittal) <br /> 5 CHECK BQX'Q EXPEDRE REOU 09.00 QUE PttOCESSED IN 3 BUS TERS A 5 ft/ r <br /> SiGNATUR[ OFPPLI DATE � — <br /> I <br /> FILE AO S9 THIS 6 D EHD STAFF USit <br /> PROGRAM ELEMENTS SEARCH <br /> � 01) <br /> J _ <br /> ! <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> R UNUEAGROUND ANK IUSTj CLEANUP SITE;(Lop) rl HOUSING ABATEMENT ❑ SOLID WASTE FACILIT`.` <br /> G t7THER CLEANU SRE(NON•LDPI InFOOD FACILITY O SCUD WASTE VEH(CL£ <br /> UNOCFCROUN� ANK(MONITORtNc.'REMOVALi .❑ DOC KENNEL C DAiRY <br /> HAZAi2DOUS W TE GENEPATOR O CHICKEN RANCH O PKG TREATMENT PLANT <br /> TIERED PURVITT D FACILITY 0 MOTELiHOTSL o PUMPER TRUCKNXR=HEN TO'LETS <br /> TATT00180DY P iRCING EO POOL'SPA 0 LAND USE APPLICATION SITES <br /> ❑ NPDICAL WASTE.FACILITY � O PUBLIC WATER SYSTEM O OTHER(PLFAsF SPECIFY ABOVE) <br /> . I <br /> 1. List up Ito ten addresses In the space above. Select the types)or rites from the list above by checking <br /> the appropriate box(eaA, At least one file type MUST be selected. Fax to f 491 4(4.Ol or mail t4 the <br /> -dres Indicated above. <br /> 2. EHD wi 11 notify the applicant if any EHD tiles exist. An appointment for review will be confirmed <br /> approx mately five business days but no later than ten(10)days after receipt or application. The files <br /> will he jeld fur a maximum of five business days for review. Appointments should be scheduled <br /> accord gly. - <br /> J A file.t at is actively being worked on by EHD staff may not be immediately available for raviow• A naw <br /> applica Ion may be submitted when the file is available. <br /> i 4. Any fl! not roturned In the same condition as released will be reorganized by EHD staff at the exponsa <br /> of theFplicant. Futuit:file reviews by the same applicant may require a$69.00 deposit prior to review. <br /> 5. "TENT)TIVE appointment dates must be confirmed with EHD staff. <br /> s• Apptic,,flons received after 3:00 pm will be processed the next hueinoss day. <br /> CONFIRMED APPOINTMENT DATE. TIME I <br /> DATE CONFIRMD _ _ PHONEFAX INITIALS <br /> r � I <br /> REVIEWED YES NO REVIEW DATE __` <br />