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_11-30-2000 9U:27FM FROMO TO • 1916EE1e430 P.61 <br /> :I.lil nCtifYVCU E+OICG NUwiktt <br /> \\11;J1 SAN JflAQU1N COUNlYPUBLIC HEALTH SERVICE=S <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WESER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> ! a (209)468-3420 <br /> jion, 3 BLIG RECORDS RELEASE APPLICATION <br /> IPFUCANT il A k-leeion e BUSINESSIAGENCY SScolz -2" kCei" iia"a( xtic <br /> AODREss 3oT7 I<d5zPv-e. Road S16,4 lou ?-uKclnt CorkcA CA 95(970 <br /> RNONE �1 Det DO ex} lZ FACSIMILE <br /> TENTATIVE'APPOINTMENT DATEMon l 2�L1 V T174F � ou k�- �'"oa fm <br /> (Plcave Slur 7 w 10 husmrss days from date of appecation submlml) AI 1/ �1 <br /> CHECK BOX TO EXPEDITE REQUEST-387.�00�FEE--REQUEST PROCESSED IN I DUSIXF55 DAYS 'YO V J 0 r <br /> SIGNATURE OF APPLICANT CC66rtE��+ DATE /1�9ow0 <br /> F11E ADDRESS TH15 SIDE END STAFF USE ONLY <br /> iPROGRAM ELEMENTS SEARCH <br /> 11 441 LLa,lcr W .Sin kia� CA I-�rM t0 357-V /L2 <br /> zi L114b C1Aa'4�' Wa 56 k-)O cr+ va AeCa <br /> 3 508 C « Wo C k CA Cl ev � 357 v !22 <br /> 41 515 Clnnv -W Aw, Tr n lam+.., s . ITod r� 3Sa4 P- <br /> 1 <br /> _... , <br /> sl bio CLwrFc. shelf -hp> .35. ac 722 <br /> 6 l N 1. L'.n Coi1� RJr- S {.. Ik Fnrmv�1 tivlLor, a r� 3 'a-- 2 2 <br /> v <br /> II ENVIRONMENTAL HEALTH DIVISION FILES <br /> V UNDERGROUND TANK(UST)CLCAHUP SITE(LOP) O HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> G7 OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SCUD WASTE VEHICLE <br /> Ia UNDERGROUND TANK INION"ORINGIREMOVAL) O DOG KENNEL O 06WRY <br /> 121 HAZARDOUS WASTE GENERATOR D CHICKEN RANCH O PKG TREATMENT PLANT <br /> TIERED PERMr(TED FACILITY O MOTEUHOTEL O PUMPER TRUCWYAROICHEm To4ETs <br /> TATTOOMODY PEIRCING ❑ POOLJSPA ❑ LAND USE APPLICATION SITES <br /> GS MEDICAL WASTE FAWLITY O PUBLIC WATF-RbYSTEM O OTHER(PLEASE SPECIFY ABOVE) <br /> j. List up to ten addresses in the space above. Select the type(s) offices from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-DI38 or mal 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 /> I approximately five business days but no later than ten (10) days after receipt of application. The files <br /> wilt be held for d maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> �. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> i 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$37.00 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 /> ) <br /> CONFIRMED APPOINTMENT DATE TIME <br /> PATE CONFIRMED PHONE --- FAX INITIALS <br />