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05/13/2002 09:54 UTILIi , DEROICE 8 ELECTRIC 4 46417138 NO D01 <br /> woe O r t r,�j:nes 4e4t]ljU EMIFVW TAL hFdl_TU 1 <br /> GM REMW D <br /> SAN JOAQUIN COUNTYi'UBLIC HEALTH SERVICES <br /> ?4ENVIRONMENTAL.HEALTH DIVISION <br /> * Sao EAST WESER AVENUE,TMRD FLOOR �� <br /> STOCKTON CA 95202 <br /> 4041, (aQa)4ea34211 MAY 13 2002 \C <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> a✓ /�' TH <br /> APPLICANT.S,�_ er5oi i BUSWE=A0FNG , oofy'OrlSe� ENVIROI�IME VICES <br /> '.lvrrrT`�[ <br /> ADDRESS 3OZ K4TC1'f5- (� akda e- Cit. 26-3601 <br /> g <br /> PHONE ?J.!�`Sr�-L_! FACSIMILE 797q P77, <br /> E1,ITAT1Vt""APPOINTMENT BATE TIME <br /> ,,,/ <br /> (P 5e hre 7 to 10 nw 8.a days m dew spW1 Oh Submitiai} <br /> C;H2CK WX To CEDE RE - �GD�7 INL�SB DAYS <br /> . r <br /> SIGNATURE OF APPLICANT DATE a <br /> FII..I;ADDRESS YRIS SLOE Ckb STAPP USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 70 v\ >w <br /> i <br /> E=NVIRONMENTAL HEALTH DMWON FILES <br /> /,MUNDERGROUND TANK NST)CLEANUP SITE(LOP) O HORSING ARATCUFNT O SOUR WASTE.FACILITY <br /> T�LR CLEANUP SUE 09)M-LOP) 0 FOOD FACILITY ❑ SOUD WASTE WHICLE <br /> ?"nE <br /> HDPR6R 0 7AFIK(IrONiTORINCifRE/eOVXj 0 DOG KCNNEL O DAIRY <br /> b CHICI�N RANCH ❑ TREATMErJT PLANTRED PER1A[T7ED FAC11 t1Y 0 MOTEUHOTEL ❑ UMLIMPER TRUCKrfAA0tCHEM TOILETS <br /> b TATTOOBODY PEIRCM 0 POOUSPA [F LAND USF APPLiCAMK WtS <br /> O MEWCAL WASTE FALILTIY ❑ PUBLIC WATER SYSTEM 0 OTHER(FLEELSE SPECIFY MN)M <br /> 1. List up tD ten addresses in the space above. Select the type(s)of Iles from the list above by checking <br /> the appTopriate box(es). At Least one file typo MUST bo relectec;l Fax to-Q09)a6�-Q138 or mall to�l1±� <br /> addressjndjgted above. 1 <br /> 2- EHD wib notify the applicant if any END flies exist. An appointment for review will be confirmed i <br /> approa:imatoly five busin"r.days but no later than tan(10)days after receipt of application. The fifes <br /> will be held for a maximum of TivQ business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A Tile that is aetiv�y being worfted on by WD staff may not be Immediately available for review- new <br /> application may be submitted when the file is available. reorganized b EWD st�f at ttte expense <br /> +3. Ally file not returned in the sem©condition as released will be reorg require a�$DO deposit prior to Tevle'w. <br /> of the Applicant Future file reviews by the same applicant may req <br /> 5. *TENTATIVE appointment dates must be confirmed with END staff. <br /> 0. Applic4tions received after 3:00 pm will be procs"ed the next business day. <br /> i <br /> I <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> Rk`V EWED YES NO REVIEW DATE <br /> �a <br /> I <br /> , h <br /> I <br />