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APR-03-2003 15:41 FRON:URS CONST rr:RVICES 9163667048 T0:464111138 P.001%001 <br /> 04/03/2003 14:31 4643138 ENVIRONM Ni AL F-LAL I - <br /> DATF ItEC9V90 mo we Hinter" <br /> SAN JOAQUIN COUNTYPUBLiC HEALTH SEPV9CES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APR 0 Z003 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 96202 <br /> (208)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICATiON <br /> k�LDAPPLICANT [vrl {,( i ,J BUSINESWAGEHCY �l�Cvg-q -FL-q --jDRESS 1(71-7—rSgS%5"-( Q(CP ..f.-fV r�� <br /> HONE �(0 (-�30� FACSIMILE <br /> TENTATIVE`APPOINTMENT DATE L4(lo TIME <br /> (Please etvr 7 to 10 bmin s days from date of application stdr.rltlal <br /> 13 CHECK BOX TO EXPEDITE REQUEST•689.00 FEE-REQUEST PROCESSED iN 3 BUSINESS I)AII'S ' <br /> 'SIGNATURE OF APPLICANT DATE <br /> THI5 5157-07D STAFF SE ONLY <br /> FU ADDRESS <br /> \ PROGRAM 6LEmEyrS�SEARCH <br /> ENVIRONMENiTAL HEALTH DIVISION Fii-ES <br /> :NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 11S,OLID wAs11E FACILITY <br /> �THER CLEMUP SITE(NON-LOP) ❑ FOOD FAMITY ❑ SOLIn wAsTF-VEHICLE <br /> VeZ U RGRPUND TANK(MONrTORINGIREMOVAL) ❑ DOG KENNEL 0 uAIRY <br /> Er HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH Cl PKC TREATiVIE:NT PLANT <br /> ❑ TiERED PERMITTED FACn rrY 0 MOTELI"OTEL CJ PUMPFR TRLICK/YARDICHEM TO11.03 <br /> ❑ TA7T00lBt5DY PEIRCIt10 <br /> ❑ P001-/SPA ❑ IJUI.D USE A IP1JCATiON UrrGS <br /> ❑ MEDICAL WASTE FACILITY 11 O OTiTER(PLE4®I:SPECIFY ABOVii) <br /> 1. List up to ten addresses in the space above. Select the type(6) of file!)from the Ilst above by chgCMJng <br /> the appropriate box(es). At least one file type MUST be selected. Fart 209 464-)138 or1fI�L1Lto�h2 <br /> Address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exISL An appointment for I eview will be Confit and <br /> approximately five business days but no later then ten(10)days after receipt of ;I6lplicatlon. Tho fsl,uc <br /> will be held for a maXlftlum of five business days for r@view. Appointments shc,tllii be schOdUleti <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be imme<lial:ely 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 reorganu;ed by E.HO staff at the expanse <br /> of the applicant_ Future Tile reviews by the same applicant may require a$89.00 deposit prior to revinw. <br /> 9, 'TENTATIVE appointment dates must be confirmed with EHO staff. <br /> g, Applications received after 3:00 pm will bo processed the),ext busin,)s._.day.,-- <br /> Poa4V Fax Note 71571 01rt• - -0 •baa► <br /> CONFIRMED APP0114TMENT DATE Th �� �jl' FMM ^KqM <br /> 00. H D <br /> DA'Z'E CONFIRMED -- <br /> �,«,e. <br /> REVIEWED YES NQq)L -jQ <br />