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01/07/2 02 13:37 4640/ EWIRONMENTh.,kIEALTH ,PAGE 01 <br /> t E <br /> .� ( n r EHD LOG Nt11uDeR <br /> U\`jam' OAQUIN COUNTYPk1BLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR 4— <br /> • JAN 1 1 2002 STOCKTON CA 95202 7 <br /> K <br /> ENVIRIIEITJY� (209)468-3420 <br /> PERMIT/SER 1C RECORDS RELEASE APPLICATION <br /> APPLICANT MICHAEL D. HAKEEM BUSINESS/AGENCY HAKEEM, ELLIS & MARENGO <br /> ADDRESS 3414 Brookside Road, Suite 100 <br /> PHONE (209) 474-2800 FACSIMILE (209) 474-3654 ' <br /> TENTATIVE*APPOINTMENT DATE TBA TIME <br /> (Please give 7 to 10 business days from date of application submittal) <br /> UA11r= <br /> CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 1785 N. Corral Hollow Road 14tC <br /> Trac CA (File No. 1396) <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> XX UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> ❑ OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ❑ UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY CI MOTEL/HOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOO/BODY PEIRCING E3 POOLISPA O LAND USE APPLICATION SITES . <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <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 file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> address Incljcated 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 expense <br /> of the applicant. Future file reviews by the same applicant may require a$89.00 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 APPOINTMENT DATE TIME <br /> DATE CONFIRMEd PHONE FAX INITIALS <br /> RE=VIEWED YES NO REVIEW DATE <br /> +tMsso <br />