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SECCR PAUL n1/G1 y <br /> 07/28/2003 10: 34 9168610430 i <br /> aiiii/21jklq 15:15 20;' -93433 FIFTH FLOOD. !� `1 PACE 02 llII <br /> aAlr I:tcets+ev ��" Ltlu�vu HJndUth .I <br /> SAN JOAQUIN COUNTYPUBLiC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH-DIVISION <br /> 304 EAST WEBER AVENUE.TKIRD FLOOR ` <br /> STOCKTON CA 95202_ <br /> �.- L003 (209)468-3420 <br /> *illPUBLIC RECORDS RELEASE APPLICATION <br /> APPLE ANT.: i Tl.{n) ]BUSINESSIAGENCY' <br /> At}pRESS d ti <br /> f <br /> PHONE_ �)8 fo� �-�}DU -rA+-22 ACSINItt C (011&1 A&L --Cigar -TENTATIVE*APPOINTMENT DAT r-A U Ck us-� 4.—2's "rime <br /> (Please glop 7 tv 10 bu3iwss days tr M 84te of application submmt al) + <br /> CHECK DOX TO EKPEDn E RE EST-387.00 FL:^REQUP8T PROCESSED N3 BUSINESS DAYS <br /> SIGI�IATttRsr OF APPLICANT 8 DATE o-7 Flo <br /> THis swE D ATAFF USE!ONLY <br /> I <br /> FILE 1WDiii~5S I <br /> PROGRAM ELI;MEIM WW9" <br /> 3(Q o Gra.Kt [t•amu_. `T.at CA q$'2-7(,, <br /> $ <br /> C L a <br /> 7111,t IL <br /> � <br /> ENVIRONMENTAL HEALTH DIVISION MES <br /> ■ UNDERGROUND TANK(UST)CLEANUP SIT.°(LOP) ❑ hOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> X OTHER OL1rANUP S(TF-(HON.-LOP) - —A?-fd4t' c3 p000 FAciLrrY O SOLID WASTE VBHICL E <br /> fn Ut1P.RGROUNVTANKC MOKITORINGIREMOVAI-) O POG KENNEL ❑ DAIRY ' <br /> O •HAZARQOu S YWA9rl--GENERATOR n CHICKEN RANCH O PKC TREATMENT PLANT <br /> M TIERED PERMITTED FACWTY 10: M=LtHQTEL .O puMpER7RUCKIYARDFCHEM TOLETS <br /> Q TAT•TOOrSODY PEIRCING O PO.014PA ❑ LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACtUTY O FUI3L.iC WATER SYSTEM ❑L VrI.WR,(PLEASE 3PF-0;FY ABOVE) <br /> 1. List up to tan addresses in the space above. Select the typ®ts)of files from the list above by checking <br /> the appropriate i,ox(as). At least one file type MUST tie selected. F a 209 0-013 or fna" the <br /> address ice a nve ! <br /> 2. EHD will notify the applicant if any EHO files exist An appointment for review will be confirmed } <br /> approximately five business clays but no later than ten(10)clays after recelpt 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 fMet is actively being worked on by EHD staff may not be immediately avallal�le for review. A new <br /> application may be subMitted whOM the filo is avaftble. .. . <br /> a.. Any file not returned in the Sarne condition as released will be reorganized by EHD staff at the expense � <br /> of tha applicant Future file.reviews by the sarlMQ applicant may require a$07.00 deposit prior to review: <br /> 5, <br /> "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 APPOINTMEt4T DATE TIME <br /> MATE CONFIRMED _ PHONE . FAX INITIALS <br /> w <br /> REVIEWED YES NQ R>`V1f=1N DATE <br /> CN"10 1i YalD7 - - I <br />