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10/ 09/ 2002 13 : 44 209 - 579 - 2225 MODESTO ATC PAGE 01 <br /> 05- 1e-2G4' _ P341311•1 FRG TO 01 <br /> �u •�. � ��M� <br /> SAN JOAQVIN COUNTYPUULIC HEALTH 5EnV [ CE5 <br /> 3 ENVIRONMENTAL HEALTH DIVISION <br /> I � <br /> ;of <br /> 304 EAST WEBER KTON CA 95202THIRD FLOOR <br /> 570CKTON CA 992p2 OCT 1 0 ZOR <br /> (209) 46&3420 <br /> I PUBLIC RECORDS RELEASE APPLICATION / nuLLUUL 1I LTH <br /> APPLICANT �✓1 f7 ' BUSIN 31AGENCY �- �. Assoc ( a bs PT"O'ESERVICES <br /> ADORESS / lp� -1 1-6rg-P-. Ei .n la c�'2��� 5� 'E'� 'a 4 'S3 ,C-� ��+ <br /> PHONE �f O_I � S 1 - 2?? ! ) : FACSIMILE <br /> Jr <br /> TENTATIVE' APPOINTMENT PATE I O TIME A " <br /> IP p" 7 (o 10 a Ins ys dAt I 95CAOM sUbmittal) <br /> (K ' <br /> CHECK BOX TO EXPEDITE REQU PE - RC ESTP C♦�5$ IN ] aUSINES$ DAYS <br /> (ONATURE OF APPLICANT DATE &1�/ <br /> FILE I rlESS THIS SIDE 9HO STAFF UaS ONLY <br /> / PROGRAM ELEMENTS SEARCH <br /> ice orl 5fMA C/ <br /> 4 a <br /> O <br /> a <br /> L4 54� <br /> f <br /> f 9NVIRONMENTAL HEALTH DIVISION FILES <br /> d"yyyyyyyy���fLROROUNO TANK ;U3T) CLEANUP SITE (LOP) C HOUEINC AOATEMENT ❑ SOLID WASTE FACILITY <br /> ff�dTHER CLEANUP SITE INON•400P) G FOOD FACILITY O SOLD WASTE VEHICLE <br /> VNDEROROUND TANK (MONITORING/REMOVAL) C DOG K4NNEL O DAIRY <br /> ❑ HAZARDOUS WASTE RENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANY <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEUHOTEL O PUMPER TRUGVYARDICHEM TOILETS <br /> O TATTOOIBODY PEIRCWO c PCOUSPA d LAND USE APPLICATION SITES <br /> G MEDICAL WAST[ FACIUTY ❑ PUS= WATER SYSTEM ❑ OTHER (PLEASE 37ECIPY ABOVE) <br /> i <br /> 1 . List up to len addresses In. the space above. Select the type($) of files from the list above by checking <br /> the appropriate box(es). Al least one flle type MUST be selected. Fax to (7Q91484-011$ or mall to the <br /> address IndlCalea above <br /> li 2. EHO will notify the Appllcsilt if any EHD flies exist. An appointment for review will be confirmed <br /> approximately five businoas days but no later than ten (10) days after receipt of application . The files <br /> will be he!d for I milximurn 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 be Imrlledlately available for review. A new <br /> application may be Submitted when the file is available. <br /> 4. Any file not returnedin thelsame condition as released will be reorganized by !HD staff at the expense <br /> of the applicant. Future file revlewa by the same applicant may require a $87.00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 5, Applicatlons received after 3: 00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE _ TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> II�REVIEWED YES NO REVIEW DATE <br /> TOTAL P . 01 <br />