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FROM . FAX NO. . Mar. 17 2003 03:05PM ' P1 <br /> 12-19-2000 09* SRM FROM TO 1EQ63554347 P.02 <br /> OAT--* -0 • uw qui.humin <br /> }Ic,...... (- _ l SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> MAR 1 7 2003ENVIRONMENTAL HEALTH DIVISION /7 <br /> ' 304 FAST WE13ER AVENUE,THIRD FLOOR (� <br /> STOCKTON CA 95202 <br /> JV;;i,lNMENT HEALTH (209)468.3420 a <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION � <br /> APPLICANT <br /> ADDRESS <br /> PHONE -79 "• GI PAC91MlLEl/j"Vl'� �+ ~ <br /> TENTATIVE"APPOINTMLMr PATE TIME <br /> (PIease glYa 7 to 10 business days from date of appgcation submittal) <br /> M• <br /> CHECK BOX TO EXPEDITE REQUE3 -S 7.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> $1ONATURE OF APPLICANT <br /> �! DATE. <br /> FILE ADDRESS 1'Fa9 8�E HND M-AFFAISE ONLY <br /> PROGRAM ELLJ99W SEARCH <br /> Y <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> /i7 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT -IT SOL.ID WASTE FACILITY <br /> J2r OTHER CLEANUP SITE(NON-LOP) M FOOD FACILITY 0 SOLID WASTH VFHICLE <br /> --M-UNDERGROUND TANK(MONRORINWREMOVAL) O DOG KENNEL D DAIRY <br /> -'tf-HA7ARDOUS WAS re GENERATOR 0 CHICKEN RANCH ❑ PKG TRFAI14E:NT PLANT <br /> —C' teM PP tMtrr(rA FACILITY 0 MOTELHOTFL O PUMPER TRUCKIYARD/CHEM TC <br /> 10 T'(ATTWEIOOY PEIRCING 0 POOUSPA --- � 0 LANG USE,L;+ UCATTON=S <br /> ''MEDICAL WASTE:FACULTY 17 PUBLIC WATER SYSTEM 13 OTHER(PL1-LASE SPECIFY ABoY <br /> 1. List up to ten addresses In the space above. Select the types)of files flolyt thea list above by cl <br /> the approprlate box(es). At least one file type MUST be selected. Fax to!2041 A¢A 0138 or mail <br /> ;(cL=s indicated above. <br /> 2. EIiD will notify the applicant if any EHD files OXISL An appointment for review vd11 be confirme <br /> approximately five business days but no later than ten(10)days after receipt Of application. Ti <br /> will be held for a maximum of five business days for review. Appointments Should be schodul. _ <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not b9 irhmedlately avallable for review. A new <br /> appGcatlon may be submitted when the file is available_ <br /> 4. Any file not returned in the same conditlon as released will be reorganlxed by JcHD staff at the expense <br /> Of the appllcanL Future file reviews by the same applicant may requiro a$87.00 deposit Ardor to review. <br /> S. 'TENTATIVE appointment date$must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CO <br /> NFIRMED A TIME <br /> CONFIIRME <br />