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PAGE a1 <br /> 07/30/2003 11:30 209-579-'225 MDDESTO;ATC <br /> EHD LOG NUMBER <br /> n,T IU cEsrEo>}':; `'•!`'i - ;'' SAN JOAQUIN COUNTY <br /> _.. , <br /> HEALTH DEPARTMENT <br /> ENVIRONMENTAL <br /> 203 304 EAST WEBER AVENUE,THIRD FLOOR <br /> A U L 3 0 STOCKTON CA 95202 <br /> + ` (209)458.3420 - ,� <br /> .i <br /> . �r,�;.,T, �,,;�,<<, PUBLIC RECORDS RELEASE APPL'ICATi� <br /> D, rt. - .. fa <br /> BUSINEsSIAGENCY <br /> APPLICANT J . <br /> $ <br /> L I��,i�., <br /> I I <br /> ADDRESS -5� -Z 22 <br /> Zc7q-5-49-Zz2 FACSIMILE <br /> PHONE TIME <br /> e 7wl)y <br /> TENTATIVE"APPOINTMENT DATE <br /> (Please give 7 to 1 U bus no <br /> days{rom dale of appllcatlan submittal) <br /> E_REQUEST PROCESSED IN 1 allSIN ESS DAYS <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-Ss9 o FE DATE `J � <br /> i <br /> SIGNATURE OF APPL'CANTrr <br /> EHID <br /> FILE ADDRESS , <br /> TPROGRAM ELEME C <br /> FTS S E O H <br /> l <br /> f.1, 5 <br /> .{ry 5 cic �- � 357 <br /> �- <br /> r <br /> S41M'. J't �ti <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND'TANK(UST)CLEANUP SITE(LOP) El HOUSING ABATEMENT SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY SOLID WASTE VEHICLE <br /> 0 <br /> UNDERGROUND'TANK(MONITORINGIREMOVAL) In DOG KENNEL' DAIRY <br /> HAZARDOUS WASTE GENERATOR p CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELJHOTEL Q PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING 0 POOLISPA ❑ LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <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 taax(es). At least one file type MUST be selected. Fax to 209 464-0138 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 n <br /> accordingly. <br /> 3. A file that is actively being worked on 6y EHD staff may not be immediately available for review. Anew. <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.'applicant. Future file reviews by the same applicant may require a$89.06 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 pATE <br /> DATE,CONI+IRMED..�' PHONE FAX INITIAL <br /> Yr. �lG? EtEulE1N DqT '?`,. <br /> .V2612003 ' <br />