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06/03/2003 11:04 209464 AGE STOCKTON . PAGE 02/02 <br /> 06/03/2003 11:20 2fl946 1 <br /> FIFTH FLOOR PAGE 01 <br /> vlowoxuMaas <br /> DATE nVIUM SAN JOAQUIN COUNTY - <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTONCA 95202 <br /> (209)4683420 <br /> PUBLIC RECORDS RELEASE <br /> RELEASEAPPLICATION <br /> APLICANT L4 UUSINESSIAOENCY� � <br /> WC _ <br /> ADDRESS9572 in C <br /> A Cr7V%P:(11�rM1 P�J_L`�jl <br /> PHONE d r / FACSIMILE Z y(r 7 - <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> (please give 7 to 10 buginoss days from dats of applloation submittal) <br /> CHECK aox TO EXFEbITE REQUEST.-.588.00.FEE-REOVEST PROCESSED BBUSiNE56 DAY9 <br /> SIGNATURE OF APPLICANT DATE Ob <br /> THi8.SIDE eHU STAFF use ONLY <br /> FILE ADDRESS PROGRAM ELEMENTS SEARCH. <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ❑..HOUSING ABATEMENT t3 SOLID WASTE FACILITY <br /> In UNDERGROUND TANK CLEANUP Sn"E.(LOP). ❑ Fool)FACILITY P SOLID WASTE VEHICLE <br /> ❑.OTHER CLEANUP SITE.(NONNON-LOPI In DOG KENNEL 13 DAIRY <br /> 0 HAZARDOUS <br /> WASTANTE <br /> GENERATOR <br /> ❑CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> O HgzARDOU3 WASTE GENERATOR ❑ MOTELIHOTEL ❑ PUMPER TRUCK(YARDICHEM.TOILETS <br /> C] TIERED PERMITTED FACILITY d pOOLISPA O. LAND USE APPLICATION SITES <br /> ❑ TATTOOIBObY PEIRCING ❑ OTHER(PLEASE SPECIFY) <br /> P MEDICAL WASTE FACILITY <br /> 1, List up to ten addresses in the space above. Select the types)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be Selected. Fax to (209) 464-0135 or mail to the <br /> address Indicata aabove. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> files <br /> approximately five business days.but no later than ten(10)days after receipt of application. <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. I be reorganized by EHD <br /> at the expense <br /> ame Condition as <br /> 4 elreturnedle not e 'applicant Future file by the sameapple <br /> wil <br /> oft ant 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 <br /> +business day. <br /> �i <br /> �3yk-.�: : .n' <br /> �a•oiAM <br /> arsV�ca <br />