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FROM NOA Environmental PHONE NO. : 209 369 4228 Dec. 23 2002 12:25PN P4 <br /> JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> Lm Su:xuivakrt <br /> ENVIRONMENTAL HEALTH DIVISION <br /> v 304 EAST WE13ER AVENUE,THIRD FLOOR <br /> DEC 2 3 2002 STOCKTON CA 95202 <br /> (209)468-3420 <br /> �''h� i' PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �I _ !�/(��1 BUSINESS/AGENCY k1DL4 <br /> ADDRESS 2 Z jj <br /> PHONE.20FACSIMILE <br /> i <br /> TENTATIVE'APPOINTmENT OATS ✓.. t'o �'D 7/ f <br /> TIME <br /> (Please give 7 to 10 buslness days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-589.00 FEE-RE ES PROCESSED 1N 3 BUSINESS DAYS � Iq <br /> SIGNATURE OF APPLICANT -z__.DATE z 3 . <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGPAM ELEMENTS SEARCH <br /> 3 S. v�rztd., G y <br /> 3 00 <br /> V ,-4,),- r - ; <br /> 0 Ave. Lo <br /> /� T �'� . i�i.,� ,4 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> Is'OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY O SOLID WASTE wmiI iz <br /> UNDERGROUND TANK(MONITORINGMEMOVAL) O DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> ❑ TIERED PERM=ED FACILITY ❑ MOTFJ!HOTEL 13 PUMPER TRUC}UYARDICHEM TOILET" <br /> C3 TATTOO/BODY PEIRCtNG ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PU13UC WATER SYSTEM W-OTHER(PLV-AZ=SPECtPY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 5209)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 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. 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 EHb 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 /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />