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OCT-17-2002 14:53 SHAW E AND I SAN JOSE 408 437 9526 P.02i02 <br /> DA16 MCLNED aNp,pe NYIMGA <br /> SAN .-jAQUIN COUNTYPUBLIC HEALTH _L.RVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> w 304 EAST WE6ER AVENUE,THIRD FLOOR <br /> O //✓�) STOCKTON CA 95202 <br /> (209) 468-9420 OCT 1 7 2002 <br /> / PUBLIe <br /> C RECORDS RELEASE <br /> /APP�LICATIO N <br /> J <br /> APPLICANT 04 IR//dOLCO6 USINESSIAGENCY Sha S✓ GtN✓ironl'n�it�gl� E '' (�� <br /> ADDRESS 7 7Q AiNOiQ(t 9� Ayc -SQH VdSey, C-✓� � � I <br /> PHONE yo e- 3So-S6?7 FAslMiLEyo8 - V 3 7- 9s�� <br /> TENTATIVE*APPOINTMENT DATE /0 y/2 TIME 9- OIC /gi <br /> (Pita"give 7 to t b ss d from of appllcallon submittal) <br /> uu� <br /> CHECK BOX TO E)(PEDITE REQUEST•$09.00 FEE-REQ ED IN]BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> Sb C,o(Ar r- ijA 8)vo,' S <br /> S <br /> 2 O uA S <br /> S G <br /> 103 B <br /> C! G.S` <br /> /,y S <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> +q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ❑ SOLID WASTE VENICLt <br /> UNDERGROUND TANK(MONITORINCIRENoVAL) p DOO KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKC TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTELMOTEL ❑ PUMPER TRUCK/YARDICMf!M TOILETS <br /> 0 TATTOO/BODY PmRCING - O POOUSPA t7 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ADOVE) <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 ono file type MUST be selected. Fax to (209) 464-0138 or mall to the <br /> address Indicated above. <br /> 2. EHO will notify the applicant If any EHD files exlst. 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 maxlmum 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 reorgani2ed by EHO staff at the expense <br /> of the applicant. Future rile 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 /> REVIEWED TES NO REVIEW DATE <br /> TOTAL P.02 <br />