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..o, vaicvoi 10:41 YAA ZUO a48OU21 �.UUZ <br /> EHO LOG nUMEER <br /> SAN JOAQUIN COUNTYPUOf <br /> I S <br /> ENVIRONMENTAL HI <br /> MAR 1 0 2004 304 EAST WEBER AVENUE,THIRD FLOOR 1007 <br /> /'1 G <br /> STOCKTON CA 95202 <br /> eNVIRUW)1"T HEALTH (209)4683420 <br /> Phr14T ��fUyI�G� PUBLIC RECORDS RELEASEAPPLICATION <br /> APPLICANT /"I+r'%� N1GL�gi(/�Z— BUSINE55lAGENCY f'e'''t Fe/c!P>r <br /> ADDRESS <br /> PHONE q �/ `-3 FACSIMILE lc(-,F— OG a ! <br /> r <br /> TENTATIVE`APPOINTMENT DATE 21,-5 1,-41- TIME t"'--rOX2 i—� <br /> (Please give 7 to 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE—REQUEST PROCESS En IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE /9 GGA <br /> S$ THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> Step a 760 T'log' of ?- C+ _54a c4c" eA <br /> N,- <br /> clvo I U t,w.� 49 fro- J�cJo <br /> 5(g0 e'ttt .e <br /> 12664 fo <br /> .5 8 FWImM ��� sfOG4F�l G <br /> 503D I-IP4-n Px d Skrul=y ENVIRONMENTAL HEALTH DIVISION FILES �9 <br /> �UNO ERGROUND TANK(UST)CLEANUP SITE(LOP) LlHOUSING ABATEMENT 1-11 fUD WASTE FACILITY n QQ <br /> OTHER CLEANUP SITE(NON-LOP) ❑ F000 FACILITY - LID WASTE VEHICLE .) <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) O DOG KENNEL DAIRY �"' <br /> OOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT ��-a , / ft <br /> TIERED PERMITTED FACILITY O MOTELniOTEL CI PUMPER TRUCKrYARD/CHF_M TOILETS <br /> ❑ TATTOOfBODY PEIRCING 11(POOLJSPA �U--ND USE APPLICATION SITES <br /> C3 MEDICAL WASTE FACILITY GpPUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking l <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209) 464-0138 or mail to the �N <br /> address Indicated Above. , VV <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <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 /> S. A file that is actively being worked on by EHD staff may not be immediately available for review. A no, <br /> application may be submitted when the file Is available. <br /> 4. Any file not returned In the same condition as released will be reorganizedbyEHD staff at the expens <br /> of the applicant. Future file reviews by the same applicant may require a S8T.00 deposit prior to reviel <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 /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />