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FROM NOR Environmental • PHONE N0. 209_369 4228 Sep. 18 2003 08:28nN P2 <br /> !I�i�(�_,' - ENVIRONMENTAL HEALTH iDIVISION <br /> crcvlL is <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> SEP 1 $ 2003 STOCKTON CA 95202 <br /> )468-3420 <br /> ' l FAITH PUBLIC RECORDS�RELEASE APPL <br /> LRi,J r/S RVIC . ICATI < 50 1 <br /> APPLICANT !i oz� <br /> ./ SSIAGENCY <br /> Z RUSINE <br /> ADDRESS Z � <br /> PHONE 2c5 367-3701 �7 <br /> FACSIMILE d,09 � �- LZ_ <br /> TENTATIVE*APPOINTMENT DATE 26 0:3 _ <br /> (Please give 7 to 1ausiness days TIMErl <br /> ys Irom date of appllC aon submittal) <br /> CHECK BOX TO EXPEDITE REQUEST- gg„pe.FEE_ QUESTPROCESSED IN 3 BUSINESS DAYS tee <br /> SIGNATURE OF APPLICANT <br /> • DATE <br /> FILE ADDRESS <br /> THIS SIDE RHD STAFF USE ONLY i <br /> 'T PROGRAM ELEMENTS SEARCH <br /> I <br /> �Ji51Y -7 <br /> --------------- <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT <br /> OTHER CLEANUP SITE(NON-LOP) SOLID WASTE FACILITY <br /> $UNDERGROUND TANK(MONITORINGIREMOVAL 13 FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ❑ HAZARDOUS WASTE GENERATOR ) ❑ ❑DOG KENNEL ❑ DAIRY <br /> ❑ C <br /> ❑ TIERED PERMITTED FACILITY CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TATTOO/BODY PEIRCING ❑ MOTEL/HOTEL C3 PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ MEDICAL WASTE FACILITY POOLISPq ❑ LAND USE APPLICATION SITES <br /> ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> T• List up to ten addresses in the space above. Select the type(s) of files from the list above by checkin <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the <br /> address indicated above- <br /> 2. <br /> bove2• EHD 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 file: <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 m <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 EHD staff at the expen: <br /> of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to revle <br /> 5, 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3:00 pm will be processed the next business day. <br /> i <br /> CONFIRMED APPOINTMENT DATE <br /> TIME <br /> DATE CONFIRMED PHONE FAX <br /> INITIALS <br /> !IEVIEWED _YES___ NO REVIEW DATE <br />