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Juo 18. 2004 1 :02PNI0ENVIRO 209 . 369 .4228 No 5532 P - 2 <br /> DAM MR =Vtw 1END teG WWEN <br /> SAN JOAQUIN COUNTYPUBLICHEALTH SERvICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR �f <br /> STOC1iTON CA 05202 I <br /> JUN 18 2004 (2D9)448-3a20 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> IVIViL <br /> � `I G\ <br /> �.J 8U6INFSS/AGENCY IVe1 �/� <br /> ADDRESS 902-rrr�45+riu\ W'U�/ LOA \ q r1 � J C 21`10 <br /> 2— <br /> PHONE O ( '3�Dj 1-:S FACSIMILC 17 ! ` -, Ll-Z-7-U <br /> TENTATIVE'APPOINTMENT OATS 1.. TIME .00� <br /> (Plaeza give 7 to 10 bminota days from data of application aubmittat) �, <br /> CHEEK BOX TO EXPEDITE REQUEST dr -R QU 71l PROCESSED IN.3 BUSINESS DAYS ` <br /> SIGNATURE OF APPLICANT of ` DATE <br /> • / Eor�o72/� � <br /> Fa.E ADDRESS THIS SIDE EMD STAFF USE ONLY <br /> I hoc C S ZO PROGRAM ELEMEIM SEARCH <br /> / O .S• �igmo�a{ Sf <'amo..diUsln� <br /> / 70S C Mar+ o a 0,3A <br /> �75A r �urr<• <br /> I o3 <br /> 2 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 4L UNDERGROUND TANK.(UST)CLEANUP SITE(LOP) ❑ HOi.4SING ABATEMENT � / q.SOLID WASTE FACILfCY <br /> `ES-OTHER CLEANUP SME(NON-.OP) M FOOD FACILITY `'01 SOLID WASTE VEHICLE <br /> �0-UNDEROROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> 0-HAZARDOUS WASTE GENMTOR In CHICKEN RANCH O PKG TREATMENT PUNT <br /> <:5:�LT1EREn PERMITTED FAciLrTY O MOTELMOTEL CI PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING 17 POOLISPA fl LAND USE APPLICATION SITES <br /> O M[DICAL WASTE FACILITY 0 PURUC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above, Select the type(o) of files from the list above by checking <br /> the appropriate box(es). At least one file typo MUST be saloctad, Fax to (2091404.0738 or mall to the <br /> address indicated above• <br /> 2. EHD will notify the applicant if any EHD filas exist. An appointment for review will be confirmad <br /> approximately five business days but no later than ten(10)days after receipt of application, The f les <br /> will be held for a maximum of five business days for review. Appointment$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 fiio is availabis, <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 came applicant may require a$89.00 deposit prior to review. <br /> 3. TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received atter 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 />