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FRAM A Env t rorxnenta I PHf7tyE N0. 209 369 4228 <br /> uAIt NOI1 Erku Mar. :1;' 2003 01 .:35PM P2 <br /> In JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> Elia 1,OG Hl�MBFSy <br /> ENVIRONMENTAL HEALTH DIVISION <br /> MAR 1 2 2003 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON CA 95202 <br /> ENVIRONMENT HEAL (209)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ADDRES NT � $ ��� BUSINESS/AGENCY r�10 to �NV1 r1,N 1 ,', <br /> ADDRESS Z2 VZ tJ 1-Db� <br /> PHONE Z a - D - <br /> FACSIMILrz ('�O°l� 33�j 9��A� <br /> TENTATIVE'APPOINTMENT DATE 3 �3 <br /> (Please gfva 7 to 10 buslncsays fro <br /> s d TIME = O <br /> m data of app[IcaGQn gubmlt[aI} -- — <br /> CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS • <br /> SIGNATURE <br /> OF APPLICANT <br /> T — DATE -3 --12, 03 <br /> FILE ADoftE55 THIS SIDE EHD-rAFF USE ONLY — <br /> PROGRAM ELEMENTS ST=ARCH <br /> aG1c Tangy st 52 I S <br /> �sDS <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> I'3 UNUERGROUND TANK(UST)CLFANUP SITE(LOP) Q HOUSING ABATEMENT Cl SOLIp WASTi=FACfL71Y <br /> U OTHER CLEANUP SITE(NON-Lop) Cl FOOD FACILITY S� 17 <br /> Ur UNDERGROUND TANK(MONITORlNCIREMOVAL) ❑ DOG KENNEL SOUP WASTIE VEHICLE <br /> 9 K4Z RDOUS WASTE GENERATOR ❑ Q HAIRY <br /> R TIERED PERMITTED FACR-rr-Y CHICKEN RANCH PKG TRrf�1-HENT PLANT <br /> ❑ TATT00l8DC1Y PEIRCING O MOTEUHOTEL PUMPED I TWCKIYARDICHEM TDILVTS <br /> 0 MEDICAL_WASTE FACtLrrY ❑ POOLJSPA W LAND U3E:.U>PUCATION SITES � <br /> PUBLIC WATER SYSTEM M OTHER(PLTASI;SPECIFY ABOV7:) <br /> 1. hist up to ten addresses in the space above. Select thee s Of files from this list above by chm king � <br /> the appropriate box(es). At least one file type MUST be epeCtetl. Fax to 209i 4'64-0138 or mail to the <br /> address indicated above. <br /> z• EHD will notify the applicant if any EHD files exist. An appointrtlont for revi(svr mrill be confirmed <br /> approximately five business days but no later than ten (10) days after rircoipt Of application. Tho fife <br /> will be held for a maximum of five buSlneSs days for review. Appointments should be scliedutrd 3 ji� <br /> accordingly. <br /> 3. <br /> A file that Is actively being worltnd on by >=1•ID staff may not be Immediately a+l:ailabie for review. Anew <br /> apPlicatlon 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 exponss <br /> Of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to rvvlow. <br /> 6• "TENTATIVE appointment dates must be confirmed wlth EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next busines y day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX <br /> INITIALS <br /> REVIEWED YES NO REVf>=1N DATE <br />