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04/10/03 THU 13:02 FAX 925 25_0 4985 TREADWELL & ROLLO 'ELj"" <br /> �• <br /> Drr'-"`' I `�17I - EHo4QG[fL�h111ER <br /> n L-7 t :I l+;l'!I -ILJ SAN JOAQUIN COUNTYpUSLIC HEALTH SI=PWICUS <br /> L ENVIRONMENTAL HEALTH-DIVISION <br /> APR 1 0 2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> a NVIRONMENI REALTFI '" (208) 468-3420 14�ri= w$-3u zZ <br /> PFRMIT/SERVICFS PUBLIC RECORDS RELE►SFE APPLICATION <br /> APPLICANT �n1� Ht151NE5S� <br /> ADDRESS •� 1 ._ . � �� k _ �jta <br /> + i>>aoNl • Z �L C X F Csinntl,� O. �-2-�-�_.. _� 5 , <br /> TENTATIVE`APPOINYMeW aAYE U 3 TIMEb b� <br /> (Pl asa give 7 to 10 bw;1noks dayv(rorn daln of oppilcation subs 3 1) —� on-go 3 <br /> CKECK BOX TO EXPEDITF-REQUEST 9.00,FEE FAqU93y PRO 5 ED IN?BU iia S IAYS <br /> E ~ �l�jlit'I•; �� � I <br /> SIGNATURE OF APPLICANT <br /> FILL ADDRESS ` 141S SIDE END SS-r,AFF USE ONLY <br /> PROGRAM E1.ti<nn,E P SZ AAV1i1 <br /> 74 W I-t <br /> i <br /> / — - <br /> ENVIRONMENTAL HEALTH DIVISION IFILe5 <br /> UN015RGROUND TANK(UST)CLEANUP SrrE(LOP) 0 HOUSING AUAYEMENT 0 SOLID WASTE FACILITY <br /> vTNER CLWUP SITE(NON-LOP) 0 FOOD FACZU7Y 0'Sr:11.ID WAS-11E VEHICLE <br /> 0 DAIRY <br /> WR)ERGIiOUND TANK(II;MfORINGlREMOVAL), 0 000 l(ENNF-L <br /> Ha7ARpOVS WASTE GENERATOR <br /> MCKEN RANCH PICC TRI;AI7AFNT PL AN1r 1 <br /> YfEFtED PERU M90 FACIU" 0 MOTE.UHOTEL 0ai]i41pER Tri1}C:K/Y1t170fCIi6M T 13t_a:Ts <br /> O TA77001000Y PEIROtNG 0 POOVSPA 0 uND Vsr;,4P1*LICATI0A1 SITES <br /> 0 MEDICAL~WASTE FACILIYY ` 0 PUBLIC WATI49 SYMM 0 OTHER(PLEAUE SPECIFY:ABOVE} i <br /> 1. Usk up to tan addresses in the space abovo. Select th4 types)of filr:s from the list above by chesa:king <br /> the approprlatc bvx(es). At least one fila type MUST bo sslected. FaX Fsi 209 4r4-0738 or Mail t[,lt1,e, <br /> address indicated above. <br /> 2. EHD will notify the applicant If any EHD files exist. An appointinent 1'or revieW Vrili be confirrneii <br /> approximately five business days but tiv tater than t$11(10)days after receipt of appliedtion". The lilts <br /> will be held for a maximum of five business days for review. Appointments should be schadolod � <br /> accordingly. ' <br /> 3. A file thatls,actively 61Eing worked on by EHD staff may not be immediately av,oilahle,for review. A new <br /> a submitted when the file is available, F <br /> applicationI'ft y be <br /> 4. Any file not returned if1 the same condition as relea•smi Will be reor9alnized by 17-HD staff atithe expense <br /> + of the appli Cant. Future file reirlews by tho same applicant may require!a$89.00 cteposit'prior to review. <br /> S. "TENTATIVE appointmcrlt dAtes must be confirmed with EHD Staff. <br /> .6. Applications received after 3.0,0 pm will be processed the next bualnes;: day. <br /> • I <br /> CONFIRMED APPOINTMrzNT DATE. ' - TIME <br /> DATE CONFIRMED � PHONE FAX INITIALS <br /> REVIEWED YES N0 REVIEW DATE <br /> •R w�j.�1r"""T .- �•a u..�. ---- "I <br /> • or.ral,ofi Tb:a7 ,r 7(2G;7 17 rITT <br /> I <br /> n <br />