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�UG.16.200213 2:46PM4648nPEX ENVIROTECH,INC. E7.IVIROVMENTAL HEALTH NO.085 P.2AGE 82 <br /> "w,reue�enrb <br /> . . <br /> S'SW4 JOAQUIN COUNTYPUBLIC HEAL`T'H SERVICE ' <br /> ENVIRONMENTAL HEALTH DIVISION o 7�p <br /> 304 PAST WEBER AVENUE,THIRD FLOOk f <br /> STOCKTON CA 95202I <br /> II <br /> (209)468-3420 AUG 18 2002 1 <br /> PUBLIC RECORDS RELEASE APPL1-CATI <br /> APPLICANTVlt'KV' %E51f14 BUSINESS/AGENCY2'_TL'aX a2njjM a4j/SERVICES <br /> AD0RES5 11 ,� <br /> PHONE S5(-p 1-7q FACSIMILE 51-0 <br /> TENTATWE'.APPOINTMENT DATE TIME �) <br /> (PISWIV716 1D bus asa d from da atappileatlao submltnq <br /> CHECK BOX TO EXPEDITE REQUEST•Se9.D0 F�UL &t�ED M 3 BUSINESS DAYS . I <br /> SIGNATURE OF APPLICAN DATE —"/oa II _ <br /> f r <br /> FILE ADDREss Tills SIDE END 57AFF USE ONLY !f <br /> PROGRAM ELEMENTS SEARCH 'If <br /> 24 N a V <br /> L)rico/ d 7�a n I <br /> 1 ra f <br /> o e <br /> !/ <br /> 5 <br /> to lr►� �P s ff <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> JeUNDERGROUNO TANK(UST)CLEANUP SITE(LOP) D HOUSING ABATEMENT O SOLID WASTE FACILITY Ij <br /> 0 OTHER CLEIWUP SITE(NON-LOP) D FOOD FACILITY 0 SOLID WASTE VEHICLE I� j <br /> O UNDERGROUND TANK(MOWTORINGIREMOVAL) 0 DOG KENNEL Cl DAIRY ` <br /> ed HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH Cl PKG TREATMENT PLANT <br /> 4 TIERED PERMITTED FACILITY D MOTELIHOTEL 17 PUMPER TRUCxlTARDICHEM TOILETS ' <br /> 17 TATTOOISOpY PEIRCING G POOLISPA 0 LAND USE APPLICATION SITES I <br /> Cl MEDICAL WASTE FACILITY G PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY AppVE)!f <br /> 1. List up tD ten addresses in the space above. Select the types) of files}torn the list above by checking <br /> the appropriate box(es). At least one file typa MUST be selected_ Fax to(209)464-0138 or mall tollthe <br /> ���ress indica�aboveindica�abova. <br /> 2. EHD will notify the Applicant if any EHD files exist. An appointment for review will be confirmed 6 <br /> approximately five business days but no later than ten(10) days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that 1s actively biting worked an by EMP staff may not be immediately available for review. A new <br /> application may be submitted when the ere 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 Futufe 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 /> .6. Applications received after 3:00 pm will be processed the next business day. <br /> 6 <br /> l <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> l <br />