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MAR-14-2003 14:05 ''-S CORPr—qT I ON 510 '--4 3268 P.02/02 <br /> eno LOG Numal", <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH 51.RV1�Ct.:' <br /> ENVIRONMENTAL. HEALTH DIVISIOM <br /> MAR 1 4 2003 304 EAST WEBER AVENUE,THIRD FLOOrf <br /> STOCKTON CA 95202 <br /> ENVIRONMENT tiLALT (209)468-3,420 <br /> -I <br /> (�FRfJ'Ilfi,;ERvlCF�'�Bt_IC RECORDS RELEASE APRT IaMATI{a,h�; <br /> APPLICANT fit �- S Q Y Ylil�i ' BUSINESSIAGENCY C- �� ) "- <br /> ADDRESS , <br /> ry ,1 3 Wit'3 FAcsIM,LE S1 U 3 Zh _--�- <br /> PHONE O Y 3 <br /> TENTATIVE"APPOINTMENT DATE <br /> licalirloin r_unm+Ctp7 <br /> (Pleaso glue y to 10 buainoss days from date of appA <br /> SiNE:aS DA' i REQUEST-S89.a0 FEE-�REQUEST PROCESSED IN 3 DU � <br /> 17 CHECK 90X TO EXPEDITE <br /> SICNATURS OF APPLWANT <br /> y THIS S E Eh3STAFF U5E OF46'- <br /> FILF ADnRESS PI tgGRAM E.U:MENT5 SEARCH <br /> ENVIRO NMI=NTAL HEALTH DMSION Fli-ES <br /> D HOUSING ABATEMENT ? SOU.Ci VVASTE FAViL.rrY <br /> UNnr-RGROUND TANK(UST)CLEANUP SITS(LOP) ❑ FOOD FACILITY Q SoLSCI WASTE VEHICLE <br /> q� 07MF t CI.L•ANUP SITE(NON-LOP) O DOG KENNEL ❑ OA 1FV( <br /> umm7 RG ❑ CHICKEN RANCH <br /> P,OIIND TANK(MONUTORING(REMOVAL) ❑ PKG•rRI5ATMENT PLANT <br /> [) N,r+7_%RDr)i 1 W.AS7E GENErcATOrz C MOTELIHOTEL O PIIN;F'ER rRUCKtYA�ROICFI�;rA TOILETS <br /> p T�c�.cn vrwRa,YTFn rAN1.1yY 0 POOLISPA ❑ L4,NU USE APPLICATION SITES <br /> C7 T,rrnr)I^r,nv Pc1Rt;l��f ❑ r -t O OTNE:R(PLEASE SpEcir-Y IU3l7VE) <br /> 1. <br /> I"icl, I.lo to sten addresses in the space above, Select the type(s)of files from the list a.bov* by Checking <br /> �tid anr,ropriaxe box(es). At least one file type MUST be selected. FaX ta.IZ091464��'r rnail to t 3 <br /> ,rld�ess indicated above, <br /> z i�h appvint.metntfor review will baa confirmed <br /> w+II notify the applicant if any EHD files exist. An <br /> �nnroximately five business days but no later than ten (10) days;after re aeipt of application. The files <br /> ,Aril he heli! for a maximum of five business days for review. Dlppointment.;should 1^e sched:1l12d <br /> accordingly. not be irr{modiatrvl�,available for rn3view. A new <br /> 3. A file that is actively being worked on by 1~HD Staff may <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-9t 1:11e expense <br /> of the applicant. Future file reviews by the same appliCant may require a$89.00 deposit Nricur to revHew. <br /> 5. *TENTATIVE appointment dates must ba confirmed with EHD staiff. <br /> 6. Applications received after 3:00 pm will be processed the next.busine_-s d!ly. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIAL$ <br /> REVIEWED YES NO REVIEW DATE <br /> ENO in-01.006 <br /> TOTAL. F.02 <br />