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64/11/2002 67:51 209 ?0B37 BAMBAS AND W METTE PAGE 01/01 <br /> 04/11/2802 08:50 458 ENVIRONMENTA�ALTH / PA 01 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SER ICE <br /> i'! + + ',;.'!1FAf ENVIRONMENTAL HEALTH DIVISION <br /> 3d4 EAST WESER AVENUE,THIRD LOOR \Vl� OL <br /> STOCKTON CA 95262 <br /> 02 p f (209)468-3420 <br /> P`U 2lb RECORDS RELEASE APPLICATION <br /> APPLICANT �IL-l. ����\��� �E$USIH>ESSIAGEHCY A I wN <br /> ADDRESS 2,02 1 G+7- *,AN C_A,#J cc L AJa. 33 S Yp�^�^TC3N q r 17 <br /> PHONE 20— Ci -1 FACSIMILE Z G]g <br /> TENTATIVE"APPOINTMENT DATE y lG p Z <br /> TIME <br /> (Please e 7 a 10 business dat appllaa' submittal) <br /> El ..UEAOCEZ CHECK 13OXTO Expradim REQUEST 9. 4 IIr3 BU ESS DAYS <br /> ti r - <br /> SIGNATURE OF APPLICANT v.. — DATE <br /> FILE ADDRESS THIS S15E EHD SMF USE ONLY ? <br /> PROGRAM ELEMENTS SEARCH <br /> Q 0 <br /> i3 3 E. i=R.-tz".M►o r . <br /> t-lc� F t. 3S_Ue <br /> � cl1 r�.sa GtJ <br /> S)y <br /> K- <br /> t✓ 1 w 524 5 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ��/ <br /> ICJ NDERdRaUND'I�ANK'(U$'1')C1» ANUP SITE(LOP) C1 HOUSING AeA'TEHIENT r I:] SOLID 1NAS�FACiLtrY <br /> OTHER CLJ'ANUP SITIt(NON-LOP) In FOOD FACILITY C� SOLID WASTE VEliIC1 <br /> UNDERGROUND TANK(MONITORINGlREIVIOvAL) 0 DOG KENNEL d DAIRY <br /> * HAZARDOUS WASTE GENERATOR CHICKEN RANCH CS pU ER Ti MENT PLANT <br /> 0 TIERED)PERMITTED FACILITY C1 MOTELII#OTEi � pUAAPER TRUCIUYARi}ICHEM TO T5 <br /> is TATYOO180DYPEIRCING a F001.JSFA a LAND USE APFI tGAIIONSiTES <br /> * TATTOM0AL WASTE!'AGILITY ❑ PUSLtC WATER SYSTEM B OTHER(PLEASE SPECIFY ABOVT <br /> 11:3�. List up to ten addresses In the Space above. Select the type(s)of files from the list above by ch cking <br /> the appropriate box(es). At least one file type MUST bs selected' Fax to 209 A64-0138 or ail t the <br /> address Indicated above, for review will be confirmed <br /> Z. ENI]will notify the applicant if any EHD files exist. An appointment <br /> approximately five business days far review. App bUt no later than ten('f0)days Appointments should shoo d be sched le files <br /> be held for a maximum of five business days f ' <br /> accordingly. <br /> 3. A file that to netiveGy being worked on by EHD staff may not be Immediately available for review. Anew <br /> application may be submitted when the file Is available- <br /> a, Any file not returned in the same condition as released will be reorganizedgg' p R�Qr to review. <br /> i <br /> of the applicant. Future file reviews by the Same applicant may req - <br /> 5. " NTATIVE appointment dates(must be confirmed with next <br /> staff. <br /> 'TE <br /> B. Applications received after 3:00,pm will be processed thenext bxlSineS$daY- <br /> CONFIRMED APPOINTMENT DATE TIME I <br /> DATE CONFIRMED <br /> PHONE FAX INITIALS <br /> REVIEwW51) YES NO . REVIEW-DATE <br />