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P. 01 <br /> FEB-25-03 12 :54 PM <br /> 02i:S� r��{1I� 1}+ d4,. uE d Er VIkUftE" rc:_ HEA PA' I'- <br /> Ir'1 SIN1 M.n,IS� <br /> SAN ,OAQUIN COLINTYPUBLIC HEALTH SERVICES <br /> FEB 2ENVIRONMENTAL HEALTH DIVISION <br /> 004 EAST WEBER AVENUE,THIRD FLOOR 1 <br /> ENVIHONP,IF\ STOCKTON CA 95202 I I <br /> PFR;,;,'TitiF 1 iF<11 T! (209)488.3420 <br /> 2003 ° <br /> RECORDS RELEASE APPLICATION <br /> APPLICauT -BUSINCSGIAZENCY <br /> A!� <br /> ADDRESS <br /> a t <br /> I�PHONE <br /> 6-03 <br /> TENTATIVE'APPQJNr1T DATE TIME <br /> ( <br /> (Pte so plva T/010 buclnoss days from dais M aDdl`•allon suhrnlUa:) �� •i <br /> CNECK GU%TO EXPEDITE REQUE T-;30,60 FEE-REQUEST PROCESSED IN 3 BUSI4E55 DAYS <br /> SIGNATURE OF APPLICANT _ DATE <br /> RLE AD RGSS TH.S sIDE E:10 STAFF USI!ONLY <br /> PHOUI1hM Iii-aME-NT51 SEARON <br /> LAZ <br /> ENVIRONMENTAL HEALTH DIVISION FILES . <br /> O SOLID WASTE FACILMY <br /> UNOERGRCUSD TANM-(UST)CLEA UP 3TTE CLOP) ❑ HOUSING A13ATFMENT O SOLID WASTE t4.N[CLE <br /> AOTHER GLEAHUP SRP(HON-LOP) 0 FOOD FACILITY O UAIRY <br /> 1 UNDERGROUND TANK(MONITORI WREMOVALI 0 DOG KENNEL O MCG T(tcAYMENT PLANT <br /> SHAIAADCUS WASTE GENERATOR O CHICKEN RANCH O pUMPER TRUCWYAnorP4 M Y0iL4Ts <br /> E7IEREo PERMITTED FACILITY O MOTEUHOTEL O IANC USE APPL'GATiON S •ES <br /> 'I TATTOQIGDDY PDIRGNG a pcoLISPA O OTHER(PLEASE SPEWFY I DOVE-1 <br /> 0 MEDICAL WASTE FACILITY , <br /> _ 1. List up to ton atit oSS s In the space above. Select the Iype(s) of Illus from the Ilnl above . 'chaehln0 <br /> the appropriala box(e ). Al least one fila type MUST be selected. Fax 10,,2091-464 013 or TtI ID Ih <br /> ad r.dicVtcd ab ve. <br /> 2 EHD will notify the ap Iicant if any EHD Illus exist. An appointmont for revi0w will 61IcaUonThe hies <br /> approximately five bu iness days but no later than tart(10)days after raeDlpt of app <br /> will be held for a max mum of five business days for raviow. Appolntalarls should be scheduled <br /> accordingly. <br /> 3. A file thaliq actively oin0 worked on by EHO staff may not be ImmcdlatelY available for rcyicw. A new <br /> aapllaalion may be a bmitled when the filo is available. EHo Staff at lite <br /> 4. Any file not rptumed n the same condition as released a it rtbt�reorganized a SRI�C Deposit prFor In review. <br /> of the applleanL FVt ro file reviews b tho same app I Yrequire <br /> 5, '1 ENTATIVE nppoln ont dates must be confinnod with END Staff. <br /> G. Appllcalians receive after 3;00 pre will be praccosod the next business day. <br /> CONFIRMEDAFPOINTME DATE TIME <br /> PHONE rAx INITIALS <br /> DATE CONFIRMED ,.,__ ---• � (. <br /> RtiviEWEDYES NO REVWL DATE _ s <br /> --..,-aw-•--r. <br /> a- <br />