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10/15/2002 06:18 _ 7074413 __ _ JEAN HUGHES 1 <br /> RATr RK � <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICE <br /> ENVIRONMENTAL HEALTH DIVISION ro <br /> 304 EAST WESER AVENUE,THIRD FLOOR Ili i' i <br /> STOCKTON CA"202 <br /> b (209)46644" i <br /> PUBLIC RECORDS RELEASE APPLICAT104P.CT 1 5 2002., <br /> 1' 5 <br /> APFUCMT SUSIKEMAO NCY <br /> ADDRESS D O F � , <br /> PHONE FACs1lYfILJE <br /> TENTATIVE*APPOINT1iAENT DATE T616 .16 . #o �T f _ TIME <br /> (PIM.*alv.Z In io bush*** ---of a on 11*M MQ <br /> X IVI E T Ito[ 1 BUSINESS DAYS <br /> CHECK Bp TQ El(PEQITE RE4UES -�.i)Q� <br /> SIGNATURE OF APPLICANT III <br /> DATE <br /> FILE ADDRESS TN 13 2101E Vits SWF USE ONLY <br /> N1toapAM ELEMEWM W.AiRCH <br /> T <br /> uc <br />{ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNPERGROUND TANK(U8T)CLEIINVP SI'M(LOP) In HOUSNG ASATEMFNT In aouo wASTE FACILITY <br /> �OTHgR CLEANUP SITE(NON-LOP) O FOOD FACILITY . ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONItORINGIREMQVAL) ❑ DOG KENNEL ❑ DAIRY <br /> WHArARDOue WASTE GENERATOR M CHICKEN RANCH 13 PKG TREATMENT PLANT <br /> ❑ TWA90 PERMITTED FACILITY O MOTELIHOTEL ❑ PUMPER TRUCKJVARD/CHEM TOILETS <br /> C3 TATTMOODY PEIRCING ❑ PCQVRPA 13 LAND U5E APPucA1M SITES . <br /> G MEDICAL WASTE FACILITY &'PUBLIC WATER eYSTEM7 O OTHER(Pi EAUE SPECIFY ABOVE) <br /> 1. List up to ten addresses In the space above. Select the type(*) of files from the Iist above by aheckina <br /> the appropriate box(es). At least one file"MUST be selected. Fax 2 464.0 all to the <br /> addrees Indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for ravlew-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 da for review. Appointments should be scheduled <br /> days APPo. <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 ApplicarMt Future file reviews by the Sams applicant may require a ;89.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Appilcatlons recelved 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 GATE <br />