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May 28 OZ 03: 013p Dc Chesney 568-?598 <br /> .r•.11. .L.... r r! <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES MCD E <br /> A1' u ENVIRONMENTAL HEALTH DIVISION <br /> / 304 EAST WEBER AVENUE,THIRD FLOOR MAY 2 8 2002 <br /> STOCKTON CA 95202 <br /> (209)468.3420 ENVIRONMENT HEALTH <br /> PUBLIC RECORDS RELEASE APPLICATION PERMIT/SERVICES c� <br /> APPLICANT C <br /> ��SNTt� _DUSINESSIAGENCY��/-���/ GpNSG��7-iiy�7 c <br /> ADDRESS . D . pip C q�341 <br /> PHONE. FACSIMILE 5-9 P <br /> C. <br /> TENTATIVE"APPOINTMENT nATF_ TIME <br /> (Please 91ye 7-to 10 busl�n©Strom d f dpplicalfon submittal) <br /> AV AW <br /> CHECK BOX 70 EXPEDITE REQUEST-S .00 FE REQUEST PRO $ IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 5—ZO—O 2 <br /> CC FILE ADDRESS THIS SIDE CHO STAFF USE ONLY <br /> D* , !Iw 7I(P S.W�er T1•µ0 • PROGRAM ELEMENTS SEARCH <br /> ANS - S DONTA PS7Fte o <br /> �^ <br /> j�10 7_ o M F.c. m A R --- � <br /> A5T LLaeNE2 AIOIF <br /> FAV� � Na rl A'S K1t556ca 7 '� <br /> ENVIRONMENTAL HEALTH DIVISION FILES �30 'Z <br /> ❑ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> ❑ OTHER CLEANUP S1TE(NON-LOP) 0 FOOD FACILITY 0 UOLID WASTE VEHICLI_ <br /> ❑ UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> Cl HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> D TIERED PERMITTEO FACILITY ❑ MOTEUHOTEL ❑ UMPER TRUCK/YARD/CHEM TOILETS , <br /> ❑ TATTOomooy PEIRCING ❑ POOL/3PA LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the typo(s)of files from the list above by checking <br /> the appropriate box(es). At least one filo type MUST be selected. Fax to 209 464-0138 or mail to the <br /> T 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 bo held for a maximum of five business days for review, Appointments Should be scheduled <br /> accordingly. <br /> D• A file that Is actively being worked on by EHD Staff may not bo immediately available for review. A now <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 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 _ 'GIME <br /> DATE CONFIRMED PHONE FAXA" INITIALS <br /> REVIEWED r <br /> YES NO REVIEW DATE f. <br />