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_OCT-17-2002 14:53 SHAW E AND I SAN JOSE 408 437 9526 P.02i02 <br /> DAIS klCOVED ave X00 NYWGa <br /> SANT-JAQU1N COUNTYPUBLIC HEALTH t-:RVICES <br /> ENVIRONMENTAL HEALTH DIVISION )� <br /> v 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON 95202 <br /> (zos) ase-3-3 az0 OCT 1 7 2002 <br /> PUBLIC RECORDS RELEASE APPLICATION rr �nr,l;plarr-r. n T� <br /> APPLICANT aCir/f'.1/ BUSINESSIAGENCY S4aw Gy✓�ronm n I��FF�-M"(�� <br /> ADDRESS_ abO** 1,17Q ���¢� AevSaH j6g r.; Gy <br /> PHONE VO e- 3-5'0--5W77 FACSIMILE 1108 - 4/ 3 7- 952, ri� <br /> TENTATIVE'APPOINTMENT DATE LOV2y/Z TIME 7.'00 ha,� <br /> (Please give 710 b ss d Iron of appllc llon submittal) <br /> uu� <br /> CHECK BOX TO EXPEDITE REQUEST-509.00 FEE-REQ E EDM 0 BUSINESS GAYS <br /> SIGNATURE OF APPLICANT ,___,nom___ DATE <br /> FILE ADDRESS THIS SIDE HD STAFF USE ONLY <br /> PROGRAM!ELEMENTS SEARCH <br /> Sb <br /> S <br /> S G }a <br /> I q03 B <br /> !J cA <br /> � - s <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MDNITORINGIREMOVAL) 0 000 KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERE-D PERMrTTED FACILrTY ❑ MOTELrHOTEL ❑ PUMPER TRUCKrrARDN:146hl TOILETS <br /> 0 TATTOO/BODY PEIRCING - In POOVSPA R LAND USE APPUcATION SRES <br /> ❑ MEDICAL WASTE FACILITY O 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) 464-013a or mall to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for reviewwill be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The Tiles <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 /> S. 'TENTATIVE appointment dates must be confirmed with EHO 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 /> REVIEWED YES NO REVIEW DATE <br /> TOTAL P.02 <br />