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/21/2004' '14:22 '925283 AEI CONSULTANTS ) PAGE 01 <br /> 01/03/2003 15:16 464013" ENVIRONMENTAL HE, _ I PACE 02 <br /> SAN JOAQUIN COUNTYPUt3LIC HEALTH SERVICES EW eCN�MDCh <br /> ENViRONMENTAL HEALTH DIVISION 1 <br /> 304 EAST VVE13ER AVENUE,THIRD FLOOR <br /> UP 2 1 2004 STOCKTON CA 95202 <br /> tNlii j,jiv1Efvi HEALTH. PUBLIC RECORDS9RELEASE APPLICATION <br /> APPLICANT 1 S eUSINEssIAGENCY_'f�GIt'(ztN <br /> It/ADDRESS 2500 ('avyl�,no C✓c'fIc _ 0 <br /> PHONE_piZ5— '29 —Cp 000 -FACSIMILE C12- — 7,F?3— C9lJ� . <br /> TENTATIVE*APPOINTMENT DATE 7µ1E <br /> (PIDisD plea 7 to 70 bosloe'a Jrys from date of appllGatlon svbmlusL) <br /> • <br /> CHECK DOXTOEXPEDITE EQUEST- .UQ F QUEST PROCESSED IN 3 BUSINESS DAYS ' <br /> "SIGNATURE OF APPLICA DATE <br /> FILE ADDRESS THIS SIDE END STAFF UsLI ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 4-1 V Dr Ij L, UC'S ✓ ft%%-jvU9 417 <br /> tri 'LS ;vLetl J- O <br /> 33 <br /> \1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES -0 <br /> UNDEROR06kC TANK(UsT)CLEANUP srrc(LOP) D Hourwt;ADATEMENT Sksoi_tn w,* EFAJ ' �� <br /> OTHER CLEMBUP SITE(NON4-OP) D FOOD FACILITY 0 SOLID WASTE VE� <br /> UNDERCROVNE TANK(GfONITORING)REMOVAL) 0 DOG KENNEL D DAIRY. <br /> HAZARDOUS%VASTE GENERATOR 13 CHICKEN RANCH O PKG TREATMENT PLANT <br /> TIERED PERMtrrED FACILITY tl MOTF,LMML 0 PDMPER TRUCWYARDICHEM TOILETS <br /> tl rA-rro=ODY PEIRCMG 0 POOt13PA o LAND Use APPLICATION SITES •` <br /> t3 MEDICAL WASTE FACILITY O OTHER(PLEASE SPCCIFY AVOW) <br /> 1. List up to ton addresses in the space above. Select the type(s) of files from the list above by chocking <br /> the appropriate box(es). At(cast one file type MUST be Selected. Fax to 12091464-0136 or mail to the <br /> address indicated above. <br /> 2. EHD wilt notify the applicant if any EHD files exist. An appointment for t9Viow will be confirmed <br /> approximately five business days but no later than ton-(10)days after receipt,of application. The riles <br /> will be held for a maximym of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file Ihat;ts,actively being worked on by EHD staff may not be immedlaloly"ailable for review. A net <br /> appvi tlort may he submitted when the file is available. <br /> 4. Any fire not returned in the same condition as released will be reorganized by EHD staff at the exponst <br /> or the applicant. Future rile reviews by the same applicant may require a $63.00 deposit,prior to revicv <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 /> DATE CONFIRMED PHONE FAX INrfIAL5 <br /> REVIEWED YES NO REVIEW DATE <br />