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03/30/2001 17:21 209-57925 <br /> N1ODESTO ATC PAGE 01 <br /> TO 5792225 P.02 <br /> 03-01-2000 29.45W FRIX: ..,..,U..nwwocn <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL,. HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA$5202 <br /> (209)468•$420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> {{�� ,, II 1t`,, -,, gUSINE83rAGENCY AT !/1ISyC:G� I14(-• <br /> APPLICANT i,�q`tan! -VCS ,��"'` b C/�' Q <br /> I(1�} �,a+x-c, �a 1 S.s:�•- l3 � <br /> ADDRESS - •�VA "� �""' <br /> PHONE Z49 2-221 _ FACStMiLF `Z�9 5 1� 2'27'5 <br /> TENTATIVE'APPOINTMENT DATE r,, s`(101 T1AIE ��Q� <br /> (Plaose give T to 10 busiAea=days from date of appiltation subMITIai) <br /> lEr CsiECK BOX TO EXPEDITE REQUEST•478.00 F[�O ftp-QUEST PROCESSED IN�BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE�/ `� - <br /> VILE ADORES$ <br /> S t,zdo�, <br /> <Ddna..l rJ S ur 35' <br /> Z 5ka S�nc141on _ .a. 4, — <br /> tCfl S S Est ick n 3 S: LD <br /> f 3'3-SCS \rjz'It r0o <br /> 5 -1 W4 tt4a od Sloo r S <br /> S SIL "► — <br /> ENVIRONMENTAL HEALTH 01VISION FILES i k rA 1 ,1 <br /> }3I UNDEROROUND TANK(UST)CLEANUP SITE(LOP) 0 TIOUSING ABATEMENT Q SOLID WASTE FACILIYY <br /> ❑ OTHSR CLEANUP 81T5(NON-LOP) 0 FOOD FACILITY In SOLID WASTE VFNICLE 1 <br /> )111 UNDERGROUND TANK(MONMORINGtR6MOVAL) C7 DOG KENNEL O DAIRY <br /> d HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH G PKG TREATMENT PLANT <br /> CI TIERED PERMITTE0 FACIIJTY O MOTELINOTEL O PUMPER TRUCKrYARDICHEM TOILETS <br /> 0 TATTOOIBODY P014CING 0 POCUSPA O LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY O PUSI.IC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. list up to tan addresses In the sparse 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 t!2(2QM 4,64.0138 or mall to the <br /> 149ress(_ndicated above. <br /> 2. END will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10)days after receipt of application. The files <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 EHO staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same Condition as released will be reorganized by END staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $78.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with END staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED r PHONE FAX INITIALS <br /> REVIEWED YES NO - REVIEW DATE <br /> IEh Oe t et >tAa .ersw�.r •�••—— -,-�^w <br /> TOTAL. P-02 <br />