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-JUL-11-03 FRI 01:59 PM SAIC - SACRAMENTO FAX NO. 916 9748830 P. 02 <br /> DATE RECEIVW , ' � I •I ! EMD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ;til 1. "i 2003 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 9S20a **7y <br /> i 'tf1LTH (209)468-3420 <br /> 1L; -S PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �d1&) BUSINESS/AGENCY 04nl1 C�1 '✓��is�7D �E'D_ <br /> ADDRESS SEW ";r-ZvF.tX,cE A�)_ 8-Z/ <br /> PHONE Cj/G) '9W-3W/ FACSIMILE !n /�� 3 <br /> TENTATIVE`APPOINTMENT DATE TIME <br /> (Please give 7 to 10 business days from date of application submittal) <br /> REQUEST. 8 0 PROCESSED <br /> CHECK BOX TO EXPEDITEQ S 9. 0 FEE-REQUESTIN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> DRE THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 3 <br /> /gel <br /> �' �ENVIRONMENTAL HEALTH DIVISION FILES <br /> ❑Jd1GDERGROUND TANK(UST)CLEANUP srrE(LOP) ❑ HOUSING ABATEMENT d SOLID WASTE FACILITY <br /> pf OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> l7 UNDERGROUND TANK(MONITORINGIREMOVAL) . ❑ DOG KENNEL 0 DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> O TATTOO/BODY PEIRCING ❑ POOL/SPA O LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILrrY ❑ OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(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)464-0138 or mail to the . <br /> address indicated above. <br /> 2. END 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 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 EHD 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$89.00 deposit prior to review. <br /> 6. '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 TIME <br /> PATE CONFIRMED PHONE FAX INITIALS <br /> .'REVIEWED YES NO... REVIEW DATE <br /> RID 4i-02�f <br /> 7hilS003 <br />