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10/15/2002 06:18 <br />ass ■!C <br />APPLICANT <br />ADDRESS <br />707452841" <br />JEAN HUGHES <br />PAGE 01 <br />END VA Wj"W" <br />SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICE <br />ENVIRONMENTAL HEALTH DIVISION I 0, <br />-Q!f <br />304 EAST WESER AVENUE THIRD FLOOR � Lr STOCKrON CA 90202 <br />(209) 4W-UnPUBLIC RECORDS RELEASE APPLICATIOWCT 1 2002 <br />PHONt< 'I D -t— —1 —11 j2 l `1 J oh FACSIMILE " -I -� <br />TENTATIVE' APPOINTMENT GATE 10 <br />� - TiME � — __ <br />(Plaa" (iivsZ tcLi� of � icatlon ■ubmkhl) <br />CHECK BOX T EXPEDITE REQUEST- FEE - RE UEST RROC S&I BUSINESS DAYS <br />it I <br />SIGNATURE OF APPLICANT <br />DATE <br />Mill 11 4G1 0181:4-1 .. , <br />�n��� 100-4 �I►MAINgm. .� ...... �r■�rr■w <br />. <br />I119�71.!WZ'�•' Biu.,,; Y•i ®��■.' :-� <br />►0170 �.� 0 WOW&. N I 11M Xl•�ti d ��Ar r <br />rel• LI/,�'�I�I -�'�-- <br />��i�.S�r�-GrA:'�. <br />• �� n �TTilnli MriT�r:(n�� <br />��inl�nlr�i�r�m� <br />[1 <br />ENVIRONMENTAL HEALTH DIVISION FILES OCT 17 2002 <br />UNDERGROUND TANK (UST) CLEANUP SIVE (LOP) d HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br />OTHER CLEANUP SITE (NON -LOP) O FOOD FACILITY ❑ SOLiD WASTE VEHICLE <br />UNDERGROUND TANK (MONiTORINGlREMOVAL) 0 DOO KENNEL ❑ DAIRY <br />HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH Q PKG TREATMENT PLANT <br />❑ TICKED PERMITTED FACILITY A MOTELIHOTEL ❑ PUMPER TRUCKlYARDICHEM TOILETS <br />❑ TATTOOIBODY PEIRCING ❑ POOLWA D LAND USE APPLICATION SITES <br />0 MEMCs1L WASTE FACILITY &,PUBLIC WATER SYSTEM? O OTHER (PLEASE SPECIFY ABOVE) <br />1. List up to tan addresses in the space above. Select the type(s) of flies from the list above by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to (209) 454-01 all to the <br />address indicated above, <br />2. 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 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 EHD 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 EHD staff at the expsnse <br />of the applicant. Future file revlews by the same applicant may require a $89.00 deposit prior to review. <br />5. *TENTATIVE appointment dates must be confirmed w" EHD staff. <br />6. Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE <br />DATE CONFIRMED <br />REVIEWED <br />YES <br />TIME <br />PHONE FAX <br />NO REVIEW DATE <br />INITIALS <br />