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FROM :-CTE-Esc. FRX NO. :7605460328 Jun. 17 2002 11:36AN P1 <br /> uM1 <br /> -- CiltLutlym ! 4 �d MIRONMEIJTAL P2ALTH <br /> PAGE 01 <br /> w SAN JOAQUIN COUNTYPUBLIO HEALTH SERVICES DTVMN"MsaR <br /> y ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOk ' <br /> STOCKTON CA 95202 <br /> r� I 38 (209)40H-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Qua RUSiN>_SS/AGENCY_ Gn_q4ruC.hp,, -6,nq t;l <br /> ADDRESS 2�{ �{ Vi'he av2l l�. G EScor-d; e.�} 92a� <br /> PHONt= 7Ga 7Y6- `f 95S FACSIMILE 76D- 7q(::,- Cj906 <br /> TENTATIVE"APPOINTMENT DATE 25- 02- TiME 4/-. Oo <br /> (Ple.asa ONS Y to 10 bualne s e m date o applfcation i5mittal) <br /> CHECK BOX TO EXPEDITE ReQUESTN I I-REQUEST P C�CRrS3E N 2 BUSINESS BAYS Q <br /> SIGNATURE OF APPLICANTi arc DATE 611 2, <br /> FILE ADDRESS THIS SIDE EHD STAFF I1S2 ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 3 O S EI �t <br /> q-7 'auFf. E oC,1jo S <br /> Q C-( DOM& !7'1r'Cw <br /> 20 ' <br /> oC or' <br /> ENVIRONMENTAL.HEALTH WVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSiNG ABATEMENT A SOLID WASTE FACILITY <br /> OTHER CL@ANUP SITE(NON-LOP) t3 FOOD FACILITY ❑ SOLiD WASTE VEHICLI <br /> UNDMROUND TANK(MONITORING/REMOVAL.) M 0013 KENNEL I7 DAIRY <br /> Q HAZARDOUS WASTE GENERATOR t7 CHICKPN RANCH ❑ PKG TREATMENT PLANT <br /> IM TIERED PERmnmw FACILITY O MOTFUHOTEL M PUMPER TRUCK/YARD/CHQM TOILETS <br /> ❑ TATTOOMODY PEMCiNG Q POOI./SPA C1 14AND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 PUBLIC WATER SYST11M t0 OTHER(PLEASE SPECIFY ABOVe) <br /> 1. List up to ten addresses In the space above. Select the type(s) of filos from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to f 209) 464-0138 or m;tli to the <br /> pAdress Indlc4ted&ovg,, <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 recolpt of application, The files <br /> wilt be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not bo 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 applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> .61 Applications received Lifter 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 />