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SAN JOAIQbrN COUN"ITYPUBLIC l•iEALTH SE RVt4rP-;S <br /> >~ 1VtRQNlU1ENTA1 HEALTH DIVISIONI_.2/l <br /> i 3b4 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 MAY 3 0 2001 <br /> (209) 468-3420 ;^ r;- <br /> PU5L..IQ RECORDS RELEASE APPLICATION " � ru L;=f\j i ;;-FAUN <br /> \j <br /> i;E8- <br /> APPLICANT ��=��- C31���;�� HUSINESSIACENCr SGC, )�tJUx�N r►NSNT,4L <br /> aopltess_ <br /> '?1-71 Ltd t<� � VG <br /> PHUtdE �U� - �rl I FACSIMILE <br /> TENTATIVE*APPOLUTMENTD,TE Cr�l1'SI� TIME _AhA - <br /> (Ptaase glue 7•!0 10 business days from date of application submittal) <br /> o • j <br /> CHECK SOX TO EXPEDITI`REQUEST-$87.09 FEE-REQ331:$T PROCESSED IN 3 BUSINESS uAYS <br /> a - <br /> - r �3oI c 1 <br /> SIGNATURE OF APPL.IGANT ,dAl DATE _ <br /> I <br /> FILE ADDRESS Yt4LS SIDE EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> EOVIRONMENTAL HATH DIVISION FILES <br /> 91, ONO EAGROUND TANK(UST)CLEANUP SnE(LOP) O HOUSING ABATEMENT rl SOUP WASTE FACILITY <br /> tA'0'rh=a OLZARUP SITE tKON-LOP) Cl FOOD FACILITY U SOLID WASTE VEHICLE <br /> )I�MRGROUND TANK jMONITORINGIA9140VAL) CI DOG KENNEL ❑ DAIRY <br /> �q�0ArAR00U5 WASTE GENERA-TOR ` ❑ CHICKEN RANCH ❑ PKG TREATMENT PLAKT <br /> TIERED PF-RM=ED FAC)L rrV t7 MOTELJHOTEL ❑ PUMPER TRUCKIYRRDICHEM'TOIL.ETS <br /> 0. •TATTOOISODY PEIRCING ❑ POGLJSPA ❑ LAND USL ABPIJCATiO2V SI ES <br /> ❑ MEDICAL WASTE FACILITY 0 PUUI.IC WATER SYSTEM D OTwieR(PLEASE SPECIFYABOYr-) <br /> 1. List up to ten addresses in the space above. Select the types)of dies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. x to 2+��)+t64-0'13$or mail fa the <br /> address indicated above. <br /> 2. ; EHD will notify the applicant if any EHD flles exist. An appointment for review will be confirmed <br /> approjomate)y five business days but no later than ten (10)days after recelpt of application. The files <br /> will be heli[for a maximum�of live business days for review. Appointments should be=heduled <br /> accordingly. <br /> A file that ix a--tively being worked on by F.HQ staff may not be immediately available for review. A new <br /> application may be submitt6d when the file is available. <br /> 4. Any file not returned in the dame conditions as released wi)l be reorganized by EHD staff at the expense <br /> of the applicant, Future filed reviews by the same applicant may require a$87.00 deposit priar to review. <br /> 5. 'TENTATIVE appointment Aates must be oanfirmed with F-HO staff. <br /> 6. Applications received after 3:00 pm will r)e processed the next business day. <br /> , <br /> CONFIRMED APPOINTMENT DATE TIME — <br /> DATE CONFIRMED PHONF FAX INITIALS _ <br /> I <br />