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04/02/02 10:47 FAX 559 291 2945 BLAIR, CHURCH AND FLYNN 0 001 <br /> 04/02/2002 08:55 46491V'-) ENVIRONhENTAL FnTH PAGE 82 <br /> �.w.IL Vtiu u.,, .auM.h.. <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> NVIRONMENTAL HEARTH DIVISION <br /> %M4 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> APR -2 PH (209)468,34220 <br /> PUBLIC RLORDS RELEASE APPLICATION r' <br /> i APPLICANT MOK BUSINESSIAGENCY <br /> ADuRESS LMr• <br /> i <br /> PHONP f 0 FACSIMILE <br /> - 5 <br /> TENTATIVE*APPOINTMENT DATETIME <br /> (Please give T Utousinesaft ppll ons 4 <br /> I <br /> � 4 �IV <br /> Ilf3 AYS <br /> '. CHECK BOX TO EXPE I M REQUEST $8 .0 <br /> i SIGNATURE OF APPLICANT BATE Z Z <br /> FILE ADDRESS THIS S OE EHD STAFF USE ONLY <br /> PP.OGRNM EL8MEN79 SEARCH <br /> c <br /> Ks <br /> lid I <br /> ENVIR13NMENTAL HEALTH DIVISION FILES (� . <br /> I OHRGROUND TANK(UST)CLEANUP SITE(LOP) CI HOUSING ABATEMENT X50 JO WASTE FACILRY 09TH <br /> E CLEANUP SITE NON-LOP 0 FOOD FACRM ❑ SOLIG WASTE VEHICLE <br /> fNDERGROUND TANK(1MONrTOR1NGIREMOVAI,) d pAiRY❑ pDG KENNt 1A7ARDgU9 WASTE GENERATOR0 CHICKEN RANCH ❑ PI{O TREATMENT PLANT <br /> ,d TIERED PFiRMITTEO FACILITY Y 0 MOTELIHOTEL ' UMPER YFtUCIUYATION SITE TOILETS V <br /> q ATrOO=DY PFJRCING 10 POOLISPA lI9E App>~[CATION SITES <br /> EDiCA!~WASTE FACILITY 17 PUBLIC WATER SYSTEM ER(PL.EASB sPsCIFY ABOVE)WFM <br /> 9. List up to ten addresses in tate Ie above_ $elect the type(s) of files from the list alcove by checking - <br /> (east one Elie MUST be selected. Fax 20 x64»0938 or all to the <br /> the appropriate box(es). At tyles <br /> a re Indicated above. <br /> .2. EHD wlII notify the appkleant If tiny EHD flies exist. An appointment for review will be confirmed <br /> approximately five business days but no Later than ten(90)days after receipt of application. The files ' <br /> will be held fora maximum of five buslness days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is activaLy being worked osti 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 sarrle condition FIs released Will be reorganized by EHD staff at the expense <br /> of the applicant. f=uture file reviews by tha same applIc"t may require a$89.00 deposit prior to review. <br /> 5. *TENTATIVE app nbrnent dates must be confirmed ANM EHD staff. i <br /> G. Applications received after 3:00 pm will be processed the next business clay. � <br /> CONFIRMED APPOINTMENT DATE= 'TIME � <br /> DATE CONFIRMED PHONE FAX INMALS <br /> REVIEWED YES N4 REVIEW PATE <br /> 04/02/02 TUE 08:49 ITXIRX NO 77322 IM002 h <br /> i <br />