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AD1 . 17 . 2003 10: 38AM f0DOR EARTH TECHNOLOGIES • Nn • 3434 P . l;l <br /> ' SAN JOAQUIN COUNTYPUBL.IC HEALTH SERVICES <br /> APR 17 2003 ENVIRONMENTAL HEALTH OMSION 6 <br /> 304 EAST WEBER AVENUE. THIRD FLOOR <br /> ENVIROWENT HEALTH STOCKTON CA s=2 �} <br /> PERMIT/SERVICES ' (209)'68'3420 <br /> LIa y g <br /> 1 PUBC RECORDS RELEASE APPLICATION <br /> APPLICANT! ,: 4 '�in'�•Iz� �8�BUSINESS!AGENCY <br /> ES ' J�I� f°�-L-t,.�.).�,.��•-�1>.�.5 <br /> ADDRS 1�� S _1 I,LJ.P35A C,j Y7-- - <br /> PHONE FACSIOHLr_ <br /> TENTATIVE-APPoINTMENTuATE, 22' ,�t'r! O3 TIME <br /> (Please sive r so III busine dry"Uam date of application;Z—�.w+:Xq1771 _ <br /> CHECK BOX TO EXPEDITE REQUEST,$87.00 FETE-REQUEST PRROCESSM IN 3 BuSiNES9 DAYS too <br /> SIGNATURE OF APPLICANT av DATE <br /> FILE ADDRESS THIS SIDE EAD STAFF'USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST) CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 1'Y, 501-ID WASTE FACW7Y _ <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACRXrY ❑ SOLID WASTE NPITICLE <br /> UNDERGROUND TANK(MCNRDRINGIREMOVAL) ❑ DOG KENNEL ❑ Dmy <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH O PKG"MEATNENT PLANT <br /> AU TIERED PERMUTED FACILITY ❑ MOTELMOTEL ❑ PU61PVR TRUCKIYARDICHEM TOIIF_TS <br /> 0 TATTOOMODYPEIRMG ❑ PdOLISPA 17 LAND USE APPIJCAnON SITES <br /> ❑ MEDICALWASTEFACUITY ❑ PUBLIC WATER SYSTEM ❑ OTHER (PLEASI-'SPECIFY AnOYE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files front the list above by checking <br /> the appropriate box(es). At (east one file type MUST be selected. Fpx to-L21)9) 4".0119 or mall 4o the_ <br /> address indicated above_ <br /> 2_ EHD will notify the applicant if any EHD files exist. An appointment for mv.i w Will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The file:; <br /> will be held for a maximum of five business days for review. Appointment:; shouicl bye Scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO staff may not be Immediately available for review. A ncnv <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 expeme <br /> of the applicant. Future file reviews by the same applicant may require a SE17.00 de{wsit prior to revievr. <br /> 5. *TENTATIVE appointment dates must be-confirmed with EHD staff. <br /> 6. Applications received after 3;00 pm will be processed the next businm day. <br /> CONFIRMED APPOINTMENT DATE TIME _ <br />