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08/16/2004 16.20 FAX 209 9480621 0 002 <br /> g17gO P01 <br /> o TE ����1��1�� EHO tDG NUY�EA <br /> IZ�C.��'�-=u J MAN JOAQUIN COUNTYPUBh1C HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> AUG 16 2004 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 jq57 <br /> ENVIRO MMENT HEALTH (209)468-3420 <br /> PERI IR/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Tra ) &405 BUSINESSIAGEN/CY \ lei <br /> ADDRESS gC� S r ' L f/e- Sf �TQc Q <br /> PHONE coq- 9yg- FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE O TIME <br /> (Please give 7 to 10 business days ffm date Cf application submittal) O <br /> 93 Co b <br /> CHECK BOX TO EXPEDITE REQUEST-S�►'0 REQUEST(PR/O�LES FD IN DAYS 5/ <br /> SIGNATURE OF APPLICANT u�DLs�r v/lZ �a^ DATE g ��' �I'Oy <br /> FlLE ADDRESS THIS SIDE EHD STAFF USE ONLY 3 � <br /> PROGRAM ELEMENTS SEARCH <br /> /O/ f15 4ui <br /> 00CA Sac c <br /> Le4r e ewve a foR/ <br /> tjo! <br /> r grow <br /> tw- <br /> 49.E c vl .r nc '� yy2 <br /> D'7 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SUE(LOP) k HOUSlNG A6ATEMENT SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING[REMOVAL) 13 DOG KENNEL X DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH )UL FKG TREATMENT PLANT <br /> TIERED PERMITTED FACIIS" ❑ MOTEUHOTEL ,. y❑3 PUMPERTRUCKrfARWCHEMTO1LEfs. <br /> ❑ TATTOWODY PEIRCING ❑-PoOUSPA ' - >[LAND Use APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY A90VF:) <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(east one file type MUST be selected. Fax to 209 64-0133 or mail to the <br /> address Indicated 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. Anew <br /> application may be submitted when the file Is available. Bose <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the exp <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 dayApplications received after 3:00 pm will be processed the next business day, ,,� <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> ._- .... oc n=w r1ATF <br />