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X01/05/1999 10:25 8183634894 JMK ENVIRONMENTAL PAGE Ell
<br /> narF ItFCifvEo EM LOG NUMBIM
<br /> SAN JOAQUIN COUNTY
<br /> ENVIRONMENTAL HEALTH DEPARTMENT
<br /> J01- �) 8 2003 304 EAST WE13ER AVENUE,THIRD FLOOR
<br /> STOCKrON CA 95202
<br /> (209)4683420
<br /> PUBLIC RECORDS 'RELEASE APPLICAXION_
<br /> APPUCANTU 0 d �O BLIGINGSWAGENCY M K NUIirDII"crA.41(
<br /> ADDRESS ppI D41f PuPtuerr Ave -, {(1) S , o CT15{15C_.
<br /> PHONE FACSIMILE CW) Wr U� �y�----
<br /> TENTATIVE*APPOINTMENT DATE J -_3TIME: 1,6 ULA_ a,Ii1•.
<br /> (Please give T to 10 business flays from date of application sudrnittat)
<br /> UAVOIICCK DOX TO EXPEDITE REgUGST-500.00FEE— QUE3T PROrFcgKA IN 3 BUSINESS D,4YS '
<br /> 0��
<br /> SIGNATURE OF APPLICANT — %Z 2 ._ DATE
<br /> FILE ADDRESS THIS SIDE EHD rAFF USE ONLY
<br /> V 2q73 OGF:AM ELEPAEN'JiS SEARCH
<br /> L�hi�S 914. y+bc,l~ta�+ C b5 (�
<br /> • �� _ v
<br /> /J
<br /> ENVIRONMENTAL HEALTH DIVISION FILES
<br /> Mr UNDERGROUND TANK(UST)CLEANUP 51TE(LOP) ❑ HOUSING ABATEMENT ❑ SDLID WA STE FACILITY
<br /> ❑ THER CLEANUP SITE(NON-LOP) ❑ FOOC FACILITY ❑ SOLID WASTE VEHICLER�k1NDERGROUND TANK(MANITORINGIREMOVAL) ❑ DOG KFNNEL CIDIURY
<br /> �'HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 PKG TREI,TMENT PLt,NT
<br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL 0 PUMPER''.RUCIUYAR01CHEW TOILETS
<br /> O TATTOOIBODYPEIRCING ? OOLISPA ❑ L4NOUSE. APPLICkTIONsn"ES
<br /> ❑ MEDICAL WASTE FACILITY O OTHER(PLEASE 51"WAt-T) . kA'MOK� {gthfTOSc- (d1 ollf(OXA&MM
<br /> G C�i1C�lJ�
<br /> 1. List up to ten addresses in the space abovs!. Select the type(s)of files from 11)a list above by checking
<br /> the appropriate box(es). At least one file type MU3T be selected. Fax io.20E Lr I-013F:or mail to g
<br /> address indicated above.
<br /> 2. EHD will.notify the applicant if any EHD files exist. An appointment for r'ovievt Will Pae tconfirrned
<br /> approximately five business days but no latter than ten(10)days after receipt of appliQltlon. 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 END staff may not be Immedlat:Ay available for review. A now
<br /> application may be submitted when the file is available.
<br /> 4. Any fila not returned in tha came condition as released will be reorganized br EUD staff at the expense
<br /> of the applicant. Future file reviews by the same applicant may require a$80.00 deposit prior to review.
<br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff.
<br /> 6. Applications rceoived aftor 3:00 pm will be processed thea nAad buaine 5;s day.
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