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02/18/2004 1:x:29 FAX 209 9480621 1210Q2 <br /> � � D SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES ..�. <br /> ENVIRONMENTAL HEALTH DIVISION <br /> FEB I $ 200304 EAST'WEBER"ENUF,THIRD FLOOR r <br /> STOCKTON CA 95202 for <br /> ENVIRONMENT HE LTH (209)468-3420 <br /> PERN1IT/SERVIC PUBLIC RECORDS RELEASE APPLICATION <br /> APf'I.ICJU�fT_ l�_ S ,tki� auslNessrasErlcY lFcrL 1 <br /> ADnKss IV) Ono <br /> PHONE 1 FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE Z 17,b t 0 L .TME <br /> (PIe85e ave T IQ 10 business days from date Of appllwitlen sub"U4 _ <br /> CHECK t30X T�EXPEOn'E REQUEST-;8'T_00 FW-REQUEST PROCE ED IN J GVSII'[<:SS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE 2 I <br /> FILE ADDRESS THIS SIDE EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> i p.0 AZ <br /> LA <br /> I <br /> I . <br /> . EhIYlRONMENTAI,HEALTH DIVISION FILES <br /> Or UNDERGROUND�ANK(UST)CLEANUP SITE(LAP) C3 HOUSING ARATEMFNT SOLID WASTE FACILITY <br /> MER ER CLEANU IP, SITE(NON4.0P) ' O F0QD FACM= SOLID WASTE VENC <br /> Iff UNDERGROUND ITANIC(MONITOWNGIREMOVAL) 0 DOG KENNEL 1 DAIRY - �A <br /> V HAZARDOUS WASTE GENERATOR © CHICKEN RANCH O'PKG TREATMENT PLANT <br /> G TIERED PMUUTiEO FACILITY C] MOTELIHOTEL ... E3 PUMpER'tRUCKjYARDr_HErATOILM <br /> Ci TAITOOMOCY P,EIRGING Q'P6oUsPA -' LANG USE APPLICATION SM <br /> (0 MEDICAL WASTE FACILrrY W PUI9M WATER SYSTEM 9.OTTIER(RASE SPECIFY ABOVE) <br /> 1- List Up to ten addresses in the space above. Select the type(s)of files from the list abave by chec4cin9 <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 46"138 or mail to the <br /> add re0s Indicated above. , <br /> 2. EHD will notify the applicant if any EHD fYes exist. An appointment for review will be confirmed <br /> approzlmately five business days but no later than tele(10)days after receipt of.application. The files <br /> will belheld for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> I 3. A file that Is actively being-worked on by EHD staffMay not be Immediately evallable for review. A new <br /> appllr, ItIon may be submitted when the file is available, <br /> 4. Any fil F not returned In the saltie condition as released wlil be reorganlzed'by EHD staff At the expense <br /> of the pplicant, Future file reviews by the same applicant may require a$8T.00 deposit prior to review. <br /> 5: 'TENT TIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received atter 3:00 pm will be processed the next business day. <br /> CONFIRMED POINTMENT DATE TIME., <br /> { 'DATE CONFIRMED PHONE" FAX wrrM LS <br /> •••••..•,•.-•••�•• •••-•+ ■ice nC%11= I nATr- <br />