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--04,' 3/2002 10:23 559268- TWINING LABS • PAGE 02/02 <br /> 177-ice-2001 10:41RN =;ai TO lo7`1c537125 P.Oc <br /> SAN Jb QUIN COUNTYPUSLIC HEALTH SERVICES <br /> IiI�u.1t' .-tkVIRONMENTALHEALTH DIVISION <br /> - � <br /> 'I 304 EAST WEBER AVENUE,-FflRD FLOOR <br /> STOCKTON CA 95202 <br /> 02 APR -3 AN 10: 1 (209)458-3420 <br /> PUBLIIC RECORDS RELEASE APPLICATION <br /> APPLICANT RN Y 1 BUSINErSSIAGENCY <br /> PHONE �p��—�a�/ ' ACSLNILE <br /> TENTATIVE:APPOa'rrMYstT DATE TIME <br /> (Plaz3e WN071 a0 day�date iioation SuDmitWq <br /> i© CHECK BOX 70 EXPEDI-(E,L--.QUE�T_$57,0yq, UT PROCESSED 7BUSINESS DAYS <br /> 'SiGNATU RE OF APPLICANT DATE 3 <br /> I <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> 1 PROGRAM ELEMENTS SEARCH <br /> X 4y 4L reed 3A <br /> ..rC7 rP� tiler 3Sy8' �.95D t{k <br /> / S <br /> r � s 2994 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ' ^UNDERGROUND TANK(VST)CLEANUP SrrE(LOP) ❑ HOUSING ABATEMENT O SOLID WASTE FAQUT-Y <br /> Q..OTHER CLEANUP SITE(NONdLOP) j ❑ FOOD FACILITY O SOLID WASTE VEHICLE <br /> l❑ UNDERGROUND TANK(MONITORINGIREMOVAL) CO DOG KENNEL 13 DAIRY <br /> :d HAZARDOUS WASTE GENERATOR I ❑ CHICKEN RANCH. G PKG 7REATNENT PLANT <br /> '0 TIERED PE(WITYED FACILITY ❑ MOTaMOTEL 0 PUMPER TRuQKrrARD/CHEM Tcuus <br /> i0 TATTOOISCOY PELRCiNO ❑ POOLfSPA '` ❑ LAND USE APPLICATION SITES <br /> ❑ MEDIOAI.WASTE FACILITY 0 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVP) <br /> 11: ' List up to ten addresseIn the space above. Select the type(s)of files from the fist above by checking <br /> the appropriate box(es).,At least one file type MUST be selected, Eax_!o!2091 464 0138 or mall to the <br /> i address indicated above,. <br /> z. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five busir(ess days but no later than ten(10)days after receipt of application.;The files <br /> will be held for a maximum of five busimass days for review. AppointmantS should be scheduled <br /> accordingly. <br /> 3. A file that is activaly being worked on by END staff may not be immediately availabla for review. A new <br /> application may he subrpilted when the file is available. <br /> 4. Any flle not raturnod In the same condition ns released will be reorganized by END staff at Lho expetfso <br /> Of the applicant. Futuro file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> -' aTENTf, rIVE appointinarlt dates must be confirmed with EHD staff. <br /> �. Applications received after 3:00 pm will be processed the next business day.' <br /> (CONFIRMED APPOINTMENT DATE TIME <br /> 1 <br /> PATB,CONFIRMEO i PHONE FAX INITIAL <br /> ,REVIEWED YES I NO. REVIEW DATE <br />