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04!24/2003 10:13 FAX �C3�002 <br />��1/ YJ/ YCR7J 14: D7 r 1r r n r L-uurN <br />v <br />DATA I�-(l,x.111��i; aoLOGMIMOCt <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />APR 2 4 2003 304 EAST WEBER AVENUE, THIRD FLOOR #5 7 <br />sTOCKTON CA 96202 <br />r-(dVlR�fdilriEN T I-iEALT 11 (20) 4138-3420 <br />P_[2L1!T SEBV1,FS PUBLIC RECORDS RELEASE APPLICATPON <br />APPLICANT N\�C�pi,L:-VOMkD'PA"BUSINESSIAGENCY-JL TA aVl"-04{'1iMLl�tciflo"TI..7m <br />ADDRESS ''J(L�0-t �Lo�CAMP + 3 ISMS Zl7u c 0 Co /A <br />PHONE �3g 2 M FACSIMILE 1 L ('bo•031a5 l�j <br />TENTATIVE* APPOINTMENT DATE 71ME �-3 7 <br />(Please give 7 to 10 business days from date of application aubrnitlnl) <br />i <br />CHECK BOX TO EXPEb1TE REQUEST -589.00 FEE UEST PROCESSED IN 3 BUSINESS) DAYB 4 3 <br />C -MSIGNATURE OF APPLICANT DATE <br />THIS <br />i PROGRAM <br />v vro <br />��if��n�i��irt-»r��iu�.i■■�■ir��MOW <br />1.I..11EC'IL7I■L1Vl-- <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABAYEMENT O SOLID W,6ATL FACILITY <br />OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY 0 SOLIE, W ks rE VEHICI.3 <br />UNDERGROUND TANK (MONITORING/REMOVAL) ❑ DOG KENNEL 0 DAIRY <br />HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ IPKG TREATMENT PLANT <br />❑ TIERED PERMITTED FACILITY ❑ MOT71HOTEL ❑ PUMPER TRUCKNAROICHEM TDILMS <br />❑ TATTOOfBODY Pk!)RCING ❑ POOLIBPA ❑ LAND USE APPLICATION Sn'ES <br />❑ MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) _ <br />I <br />1. List up to ten address&& In the space above. Select the type(s) of files frorn Lhe list obove. by checking <br />the appropriate box(es). At least one file type MUST be selected. faLULL7O! d) 6 -01 3Et or mail to the <br />address indicated above. <br />2. EHD will notify tho applicant If any EHD files exlst. An appointment for resrlew will be confirmed <br />approximately fire business days but no later than ten (10) days after roccipt of application. The files <br />will be held for a maximum of five business days for review. Appointments should bo scheduled <br />accordingly. <br />3. A file that Is actively being worked on by EHD staff may not be immediatel;f avall,abll+ for review. Anew <br />application may be submitted when the file Is available. <br />4. Any file not returned In the some condition as released will be reorganized by EHD staff at the expense <br />of the appllcant Future filo reviews by the same applicant may require a t'r89.00 deposit prior to review. <br />5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Appi cations received after 3:00 pm wlli•be processed the next business day. <br />- <br />160�VFi APPOINTMENT: DAT•E.. _ _ T]N►E - = - <br />` 1T •?SOI l�IV1 b _ . PK0la lt <br />-R1yVIF�If D.,:; .Y£S N0. 1!4DATE.- <br />Incioos <br />