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'OCT-17-2002 14=53 SHAW E AND I SAN JOSE <br /> UAt!kt�L'IvEo 408 437 9526 P.02i02 <br /> SAf':m!%OAQUIN COUNTYPUBLIC HEALTFImOtRVICES twv�ooNur�sc� <br /> 40 ENVIRONMENTAL HEALTH DIVISION , <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> O STOCKTQN CA 95202 <br /> (209)ase-sato OCT 1 7 2002 <br /> PUBLIC RECORDS RELEASE APPLICATION _ , p,; , p_ <br /> APPLICANT EUSINESS/I�GENCY S4a�✓ �ZSEItSL. <br /> ADDRESS 19.E 1 I�,rt o (064 ,c}y Sa" Jos ;-/C 5is/•3l <br /> PHONE VO f FAdSIMlLE_ <br /> TENTATIVE'APPOINTMENT DATE lO -2 D 11mr: 7.'(W AIE _ <br /> (Plea"give 710 1 b ss From of sppl(catlon subml(tal) <br /> C1 CHECK BOX TO EXPEDITE RE UES U <br /> Q T 509.00 FEE-REQ ED IN 1 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE /_0_g6/ O " <br /> FILE ADDRESS THIS SIDE 1EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> Sb u.+ GL B s <br /> s - <br /> O u' S <br /> Me Q4 UA !� e-,4 s <br /> ENVIRONMENTAL.HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE;(LOP) O HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER'CLEANUP SITE(NON-LOP) 0 FOOL)KAICILTrY 0 SOLID WASTE VEHICLE- <br /> UNDERGROUWO TANK(MONITORINGIREMOVAL) 0 000 KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH 0 PKG 1REATMENT PLANT - <br /> O TIERED PERMrITED FACILITY 0 MOTEUHOTEL 0 PUMPER TRUCKIYARDICHL'sM TOILETS <br /> 4 TAT7OOI8ODY PEIRGING 0 POOUSPA 0 L.ANO USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 13 PUBLIC WATER SYSTEM O OTHER(PL.EASt SPECIFY ABOVE) <br /> 1, List up to ton addresses In the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least ono file type MUST be selected. Fax to(209)464-0139 or mail to the <br /> address Indicated above. <br /> 2. EHO 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 fora maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file.that is actively bbing 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 589.00 deposit prior to review. <br /> 5. -TE=NTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 prn will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED _ PHONE FAX INITIALS , <br /> REVIEWED YES NO REVIEW t)ATE <br /> TOTAL P.02 <br />