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09/17/2003 09:97 FAX 209 9480r-"1 fQ 009/004 <br /> IDI�°'�'T� cgli <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES ena Boa noweFx <br /> ENVIRONMENTAL HEALTH DIVISION �1 <br /> SEP 17 2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> %NViRUId(vIENT HEAL(H (200) 468-3420 <br /> EFRMIT/SER�IICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT k`,V 1 � SW LiCi BUSINESS/AGENCY <br /> ADDRESS17�nC]�1CC <br /> �0 <br /> PHONE S' <br /> 1--�'f�L(�—���fS FACSIMILE ��-'C7 'Y1 )-0 <br /> TENTATIVE'APPOINTMENT DATE g�Z9-1p? nME <br /> (Please eive 7 to 19 bleu days from data of applI adon su10MIVA0 �. 7 <br /> CHECK BOX TO EXPEDITE REQUEST-587.00 FEE- QUEST PROCESSE 7 BUSINESS DAYS 1 `7 <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE END STAFF 115E ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> CJI.. '— $TO LKi�r✓•, J <br /> 1 11 S i — Slit- �rJ — _ \ Z_ <br /> DO t4. LA <br /> 3 20 (j t1 Jj <br /> Li <br /> Ob J i,. 11 11 <br /> Li l7 7; 11 1i C�f�C�J <br /> D LO .SApO AJI.A I �' �:J <br /> lL LA in <br /> . ENVIRONMENTAL HEALTH DIVISION FILES �� <br /> gt UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT M SOLID WASTE FACILITY fa/y <br /> P-OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE„� <br /> qt UNDERGROUND TANK(MONrrORJNGIRLMOVAL) ❑ DOG KENNEL X DAIRY <br /> Is HAZARDOUS WASTE GENERATOR C3 CHICKEN RANCH G3 PKG TREATMENT P�q�}f' <br /> U TIERED PERMITTED FACILITY ❑ MOTELMOTEL ❑ PUMPER TRUCK(YARDICHEM TOILETS <br /> C] TATTOOIBOOY FEIRCING ❑ POOLsPA 51 LAND USE APPLICATION SITES �1 <br /> Q MEDICAL WASTE FACILITY ❑ PUBLIC 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 <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mall to the <br /> address Indicated above, , <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 tiles <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new <br /> application may be submitted when the file 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. Future file reviews by the same applicant may require a $87.00 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3:00 pm will he processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INff7ALS <br /> REVIEWED YES NO REVIEW DATE <br />