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04/11/2002 07:51 2049520837 BAMI3AS AND W- METTE PAGE 01/91 f <br /> % 04/11/2002 88:50 46 8 ENVIRONMENT4- ALTH / PA 01 <br /> ux wK6V1;1VL , <br /> U „ V:V-tA 14 <br /> SAN JOAQUIN COUNTYPUBLIC HF-ALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 3'd4 EAST �. <br /> yS� <br /> sTacitrorl CA sszoz J" <br /> �2 <br /> All 1 I �p� q,� (208)468-3420 <br /> PI t & RECORDS RELEASE APPLICATION <br /> APPLICANT 1 L1. � 131USINESSIAGENCY <br /> ADDRESS Z, � t^� ' !-+ ... ��• 33 �Tt1C+k-�tPJ . r <br /> i, I <br /> PHONE ?M u g '�' ��-l FACSIMILE 0 4 S a <br /> TENTATIVE"APPOINTMENT DATE TIME <br /> se <br /> {Pleave 7 o 10 businap .-.dat appttCe' subAtiNal} <br /> El CHECK BOX TO EXPEDITE REQUEST` 9. 0 —1Q ES I7G!'� 3$U ESS DAYS <br /> SIGNATURE OF APPLICANT w ~ DATE 14(It <br /> FILE ADDRESS THIS SIDt EHD 5: F USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> T- <br /> - <br /> IL <br /> q100 so L-;t"u <br /> u� <br /> - � ria 1 Ldp w 5 r=�-2 1 <br /> -z,o� . FIS M a ry•� ,$'� <br /> 10Ll <br /> 4W ASI"G-rz- u' i'' <br /> IrNVIRONMIrNTAL <br /> "HEALTH DIVISION FILES <br /> C3.HOUSING ABATEMENT D SOLID WASTV FACILITY <br /> `2NO RGROUND TANK'(UST)C1.FANUP SITE(LOP) E3 FOOD FACILITY ❑ SOLID WASTE VEHICLE I <br /> OTHEf.CLEANUP 8117!(NON-LOP) ❑ POG KENNEL d DAIRY I <br /> �UNDEI�GROUIJD TANK(VIONrrQRIHGIREMOVAL) ❑ CHICKEN RANCH ❑ qK0 TRIrATmENT PLANT c <br /> ❑ HAZARnous WASTE GENERATOR ❑ CHICKEN RAN " Q pUMPER TFttlCKrYARDlCHEM TO TS <br /> C3 TIERED PERMITTED FACILITY ❑ FOOLISPA Cl LAND USE APPLICATION SITES <br /> is TATTOOlBODY PEIRCING p PusLtc WATER SYSTEM D OTHER(PLEASE SPECIFY ABOVI <br /> Q ItitFsOlCAt.WA:s7'R'lAGlt-tTY Select, <br /> 1. List up to ten addresses Int he least ace abfiltype MUSTtbe She al cted f Flax too 09 4 164-01 38 ist LMA I by t eking <br /> the appropriate box(es). <br /> address indicated abave. , ointment for review will be confirmed <br /> 2. EHD will notify the applicant if any EHD files BxisL An app <br /> approximately five business days but no 1ateir than ten(10)days after reomtmentscelpshou should stched le files <br /> will be held for a maximum of five business days for review: App <br /> accordingly. available far review. A new. <br /> 3. Afile that Is actively being worked on by EHD staff may not be Imnls3diateiy <br /> applicatign may be submitted when the file its available. staff <br /> 4. Any file not returned In the same condition ells released will be reorgaTezae$89 0 dep itprior to review. <br /> of the applicant. Future file reviews by the same applicant may req <br /> 5. "TENTATIVE appointment dates must be Gpn it ned with EHD staff. <br /> g_ Applications received after 3:40,pm will be processed the next business day. I <br /> CONFIRMED APPOINTMENT DATE <br /> 'GIME p <br /> PHONE FAX INITIALS <br /> DATE CONFIRMED <br /> REVIEWEd YES NO REM DATE <br />