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`23/2004 08:24 F.li,! 209 948V'I. Z002 <br /> ENO LDG NUMBER <br /> oNTe RECEIVED <br /> O —SAN JOAQUIN GOUNTYPUBLIC HEALTH SERVICE <br /> �EC,��Sji l�L�U ENVIRONMENTAL HI=ALTH DIVISION <br /> 304 EAST WEUER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> E E B 2 3 2004 (249) 468-3420 <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APpLICANT � 0U5lNE5SlAGE?4CY,��� <br /> ADDRESS <br /> L� FACSIMILE <br /> PHONE ENT DATE r 2 e` 0_7 TIME <br /> TENTATIVE'APPoiNTm Vn <br /> (Please give 7 to 14 business days trom date of application suhmitlal} <br /> CHEGEC 80X To EXPEQrrE REQUEST-39T.00 FI=E—R Q0E8 PROCESSt=D IN 3 B7!�DATE <br /> �? O <br /> � � �J <br /> SIG TURE OF APPLICANT <br /> FILE ADDRESS THIS SIDE EH.D STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> MG Recp.rcGS <br /> 16 33;2, mak;n I A,.0 � e.£R LOT w - <br /> 3"A - q -I o <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ( 0 HOUSING ABATEMENT ,�OLIA WASTE FACILITY <br /> a UNDERGPOUND TANK{UST}CLF 517E(LOP) ❑ ESO FAGII-tTY ��LID WASTE VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑ KENNEL DAIRY <br /> �'UNDERGROUND TANK(11AONITORlT1GIREMOYAL) �C}{�KEN RANCH 0 PKG TREATMENT PLANT <br /> OUS WASTE GENERATOR ❑ MOTELIHOTEL p�llMPEfiTRUC YAr{DlGHEM TOILETS <br /> TIERED pERMriTED FACILFTY , _ rf�D USE APPLICATION SITES <br /> OfTATroofeODY PEIRCING Q POOL PA 0 OTHER(PLEASE SPECIFY ABOVE) <br /> ,1 MEDICAL WASTE FACILrry fes'PUBLIC WATER SYSTEMA <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checkins <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464- 138 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 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. Ana <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 h eXpe <br /> revue' <br /> of the applicant. Future file reviews by the same applicant may require a $87.00 depoSlt prior <br /> 5. *TENTATNE appointment dates mu t bll be processed ed with EHD the next staff.slness day. <br /> S. Applications received after 3:00 p <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW GATE <br />