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Nov 25 03 10: 45a Pon Chesney GGB-2598 <br /> � (� p. l <br /> LAILULGL&Wt`� Emo I oc NUMBER <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> NO�2003 ENVIRONMENTAL HEALTH DIVISION <br /> _ 304 EAST WEBER AVENUE,THIRD FLOOR 3 <br /> STOCKTON CA 95202 <br /> SFRVICES (209)468-4 -464-o13g <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT QA/ c�1�SNE Y BUSINESSIAGENCY CifES ��� 1Z j � <br /> ADDRESS // <br /> D• 303 �i 4 T��L�� � S-��r <br /> PHONE 66 - /4(03 FACSIMILE��OQ <br /> TENTATIVE'APPOINTMENT DATE TIME �N . <br /> wiease give 7 to 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST- 40 FEE- ST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE l/ Z 3 -03 <br /> FILE ADDRESS MS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS 5EARCH <br /> -4,14F qIP611V <br /> o5 A�reAT7_n <br /> V;70 //1 <br /> J V <br /> 2i 3 � a Loo � e rva R a <br /> .\Jv <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ❑ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOU51NG A[3AILIAENT O 50t.ID WASTE FACILITY �4✓ ^cam l <br /> T3 OTHER CLEANUP SITE(NON-LOP) 11FOOD FACILITY D,1SOLJD WASTE VEHICLE v y <br /> ❑ UNDERGROUND TANK(MONITORINGIREMOVAL) DOG KENNEL it DAJRY <br /> 7l <br /> d HAZARDOUS WASTE GENERATOR O CHICKEN RANCH O PKG TREATMENT PLANT <br /> 13 TIERED PERMITTED FACIL17Y r] w � <br /> MOTEUHOTEL C3,PUMPER TRUCYARKEM TOILETS <br /> LAND USE APPATION srrES <br /> C3TATTOOISODY PEIRCING 0 POOUSPA LIC <br /> O MEDICAL WASTE FACILITY d PUBLtG WATER SYS TEM ClOTHER(PLEASE SPECIFY ABOVE) <br /> 1 List up to ten addresses in the space above. Select the type(s) of files from the Inst above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(2098 464-0138 or mail 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 files <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. 1 <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 EHU staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$89.00 deposit prior to review. <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 /> )A'Y E CONFIRMED PHONE FAX INfTIALS <br /> n <br />