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'"402/2002 10:38 20946.71.118 AGE STOCKTON <br /> UAI � PAGE 01/01 <br /> K KkULIVLO <br /> S JOAQUIN COUNTYPUSUC M L" ,SERVICES ���N" R <br /> g l ENVIRONMENTAL HEALTI�IIS� ' <br /> 304 pp ' ` <br /> !~AST WEBER AVENUE,TIaiR]F.=jp <br /> D r w STOCKTON CA 95202 <br /> y I <br /> nE (209)468-3420 <br /> PU LIC RECORDS RELEASE APPLICATION - � ` ... <br /> S <br /> APPLICANT <br /> ENVIR EPf'T 01 <br /> UsINESSlAG1NCY <br /> PEI nn �} c IS <br /> f PHONEiJ LJ FACSIMILE_ <br /> POiNTMENT DATE tp <br /> (Please Iva 7 to f o burin do vm dale of application submittal) <br /> uhmlltal) <br /> PERMIT <br /> CHECK BOX TO EXPEDITE REQU -;74.00 —RE U O E ED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS <br /> i � M <br /> w <br /> on 5 1-6A <br /> 5 Ito n <br /> A Ai <br /> r',rrt <br /> 1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ❑ SOUD WASTE VEHICLE; <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL Q DAIRY <br /> HAZARnOus WASTE GENERATOR ❑ CHICKEN RANCH 0 PKG TREATMENT PUNT <br /> TIERED PERMITTED FACILITY 0 MOTEL/HOTEL 0 PUMPER TRUCK/YA b(cHEm-TOiLET5 <br /> Cl TATTO01BODY PEiRCING ❑ FOOL/$PA Q LAND USE APPLICATION SEMS <br /> 0 MEDICAL WASTE FAcILrrY ❑ PUBLIC WATER SYSTEM[ ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the typa(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 46_4-0138 or mail to the <br /> address indicated above. <br /> 2. EMD 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 flies <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 ENO 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 EHD staff at the expense <br /> of the applicant, Future file reviews by the same applicant may require a$78.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. 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 /> EK 00 14 41/08100 <br /> r <br />