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Q002/002 <br /> 05/28/2004 14:53 FAIL 209 941 <br /> ENO LOG NUM06R <br /> 'EL SAN JOAQUIN COUNTYPUBLIC H oni BION ACES <br /> ENVIRONMENTAL HEALTH <br /> MAY 2 8 2004 304 EAST WEBER AVENUE,THIRD FLOOR <br /> 113q <br /> STOCKTON CA 95202 <br /> (209)468420 <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PER <br /> g" BUSINEWAGENCY " `' `rc. n F 1Z <br /> APPLICANT— �1�J t�..t ��'�.-� ---- <br /> ADDRESS Zbz,,V S- `�M- I <br /> PHONE 2�L <br /> +4y1�-L�K i� FACSIMILE <br /> TENTATIVE"APPOINTMENT DATE � I TIME l?a1U <br /> (Please give T to 10 business days Iran date of application sub t=an <br /> VAR <br /> ED W 3 BUSINESS DAYS �'tJ <br /> CHECK BOX TO EVEORE REQUEST.$".00 FEE—REQUES PROCESS <br /> DATV <br /> SIGNATURE OF APPLICANT <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 110 A <br /> jrjL*-Lo <br /> ENVIRONMENTAL HEALTH DMSION FILES <br /> LB SOLID WASTE FACU.ITY <br /> 91 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING <br /> FACILITY 1 SOLID WASTE VEHICLE <br /> P OTHER CLEANUP SITE(NON-LOP) DOCS i�tNt:L M DAIRY <br /> Tr UNDERGROUND TANK PROWTOR1NCilREMOYAL) O CHICKEN RANCH RI PKG TREATMENT PLANT <br /> �DOIUs WASTE GENERATOR O PUMPER TRUCk/YARD/CH TOM.!"TS <br /> TIERED PERMITTED FACILITY O MOTELIHO TEL ... O'LAND USE A"L.ICATiON SnW <br /> O TATTOOltoDY PEIRCING D'pOOIJSPA O OTHER 0:12ASfi SPECIFY ABOvQ <br /> O MEDICAL WASTE FACILITY Q PUBLIC WATER SYSTEM <br /> 1. Ust up to ten addresses in the Space above. Select the typs($)of.files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax o 2091 464-0138 or mat to e <br /> address indicated abov_e.. EHD files exist. An appointment for review will be confirmed <br /> 2. EHD will notify the applicant if any atter recei t of application. The files <br /> appro)imataly fare business days but no later than ten(10)days p <br /> will be held for a maximum of five business days for review. Appointment$should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by END staff•may not be immediately available for review. A nay <br /> application may be submitted when the file is available.. Elio staff at the <br /> 4. Any file not returned in the same condition as released will be may requireza S67A0 deposit prior exPenst <br /> rev eve <br /> of the applicant. Future file reviews by the same app <br /> licant5. '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 /> F <br /> IRMED APPOINTMENT DATE TIME -— -CONFIRMED PHONE FAX INITIALS �.-- <br /> REVIEWED YES -NO REMEW DATE <br />