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_-011 NOR Erw i ronmen'ta 1 PHONE NO. 209 359 4228 � Dec. 23 2002 12:24PM P2 <br /> �IIo I,ac mimeaft <br /> SAN JOAQUIN COUNTYPUBLIIC HEALTH SERVICES <br /> r�;+l•- ;i , 1 - I+M.',li'f;-� --,ENVIRONMENTAL HEALTH DIVISION ; <br /> EAST WEBER AVENUE,TH1RD!:1_OOR <br /> STOCKTON CA 9820.2 1091 <br /> �t C 2OOz (209)468.3420 <br /> RECORDS RELEASE APPLICATION <br /> APPLICANT G1BUSINES5IA0ENGY <br /> ADDRESS M. 1'L <br /> PHONE fad- O( PAC/SIMILE A57'"r <br /> TENTATIVE-APPOINTMENT DATE 3'c"k- lv z 60-3 TW <br /> (Please give 7 to 10 business days from date of application submittal) <br /> W7CHECK BOX TO EXPEDITE REOUEST-$89.00 FEE--RE STP OCESSED IN 3 BUSINESS DAI <br /> 1 <br /> SIGNATURE OF APPLICANT DATE ' <br /> FILE ADDRE55 11`115 SIDE 8HD STAFF Use ONLY <br /> PROGRAM Et r FNTS SEARCH <br /> 1y i� <br /> o <br /> G5 14sm <br /> ENVIRONMENTAL HEALTH DPASION FILES0 UNDERGROUND TANK(UST)CLEANUP Sl7E(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> V OTHER CLEANUP SITE(NON-LOP) a FOOD FACILITY Q SOLID WASTE VEHICLE <br /> lily UNDERGROUND TANK(MON1TORINGIREMOVAL) 0 DOG KENNEL O DAA TRlrATMENY PLANT <br /> 8( HAZARDOU5 WASTE GENERATOR ❑ CHICKEN RANCHCl 11 ZARRED PERMITTEd FAENERCILM 0 MOTELIHOTEL E3 PUMPER TRUCKIyARD1CHEMCt yATTO"ODY PEIRCING 0 POOLISPAQ LAND USE APPL1CAriON SIT❑ MEDICAL WASTE FACILITY ❑ PU13UC WATER SYSTEM R OTHER(PL.EASE SPECIFY AB <br /> 1_ List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(eS). At least one ftle type MUST be selected. Fax to 209 464-0938 or mail to the <br /> address Indicated above. <br /> 2 EHD will notthe applicant If any EHO files exlst. -An appointment for review will be confirmed <br /> approximately five business days but no later tha[n.ten 00)days after receipt of appi4cation. The files <br /> will be held for a maximum of five business clays 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 /> application may be submitted when the fila 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 carne iapplicant may require a$3s.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 /> CONFIRMED APPOIN7IN> NT DATE, <br /> TIME ' <br /> DATE CONFIRMED PHONE FAX INITIALS. <br /> REVIEWED YES NO REVIEW DATE <br /> i <br />