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09/17/2003 -09:36 FAX 209 9480621 0 002/001 <br /> OATS RECENEO <br /> `• �r OxO LOG NUMaEA <br /> f_-��) SAN JOEQUIN UNVIRONMEN ALHSERVICES <br /> HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> S E P 1 7 2003 STOCKTON CA 95202 IL4q7 <br /> (209) 468-3420 <br /> �'�lij�UP1fJIEN1 riEALTHPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT K- \j 8USINES5IAGENCY <br /> ADDRESS <br /> PHONE -2!->I ��j!-(DI 17 5 -FACSIMILE <br /> G <br /> TENTATIVE'APPOINTMENT DATE -( /2� 0 3 TIME 1 Z� <br /> (Please give 7 to 10to 10 busl�5 days from date of application subm ttal) <br /> CHECK BOX TO EXPEDITE REQUEST•$ 7.00 F -REQUEST PROCESSED W 3 BUSINESS DAYS ' <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 3A L, ! T(3 A _ 3 <br /> 2 r.,A I er S 7- •r 11 3 <br /> L .-.Lir. AJC. % 1 I r <br /> -1522 L <br /> f- ('� S l I r l <br /> ` ,,�G <br /> !t t r <br /> 1 I \i L' 1. s <br /> I O <br /> ENVIRONMENTAL HEALTH DIVISION FILES Ci ,(�)JV (lid <br /> jJ/ <br /> M UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 01 SOLID WASTE FACILITY ! ! h,`li? _ �/✓ 11�c. ��c <br /> S? OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> Ei UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL Od DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ,W PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK(YARD/CHEM TOILETS <br /> C7 TATTOO1800Y P£IRCING ❑ POOLISPA � ' 10 LAND USE APPLICATION STTES <br /> ❑ MEDICAL WASTE FACILITY ❑ PU13UC 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 Indicted 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 $87.00 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 /> REVIEVVED YES NO REVIEW DATE <br />