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FEB-14-2002 12:25 FROM:TWININ jBS INC. 5592687126 TO 0138 P.001/001 <br /> 10-17--2000 10;2EAM FROM TO <br /> 6AICn�.�uv.0 155926E371.26 P.02 <br /> smooth SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES rwNur�k <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA <br /> 85242 <br /> PUBLIC RECORDS 9RELEASE APPLICATION <br /> !AL <br /> APPLICANT --4:ti A yrBU3ITIESSIAGEIVCY <br /> ADDRESS 4-`� <br /> . i-�c � � .tet s •rd <br /> PHONE 1,4 - p' <br /> TENTATIVE'APPoINTMENTDATfi 4 ,ZQ. <br /> Jmrm <br /> (Pleasa give io �ness da s(r da IT Vo <br /> P cafl9n Submittal) <br /> .EcK BOX TO EXPBprM"QUES - 7,00 EE- QUEST E BI SS GAYS <br /> SIGNATURE OF APPLICANT <br /> DATE* /Y �. <br /> FU.E ADDRESS nils SIDE E3HD STAFF USE ONLY <br /> PRpGRAW ELemENTs SEARCH <br /> r i <br /> ry <br /> i <br /> 9 5D <br /> O(7 t2362 <br /> i <br /> I <br /> ENVIRONMENTAL HEALTH DWIS1D14 PILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) (3 HOU3I14G ABAT19ME.NT E7 SOLID WASTE FACILrrY <br /> O OTHER CL.E up saE(NON.Lopl ❑ FOOD FACIUTY <br /> t UNDERGROUNO TANK(HONIT0R1NG/REMQVAL) O C] SOCK]WASTE VEHICLE <br /> DOG KENNEL 0 DAIRY <br /> 19- HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH Q PKG TRFAYMBNT PLANT <br /> C TIERED PEPJ&rrM FACILrrY C3 NOTTELMOTEL E7 PUMPER TRUCK/YARwcHEM TOILETS j <br /> ❑ TArrdDf GDY PMRCiNG ❑ POOLlSPA -' ' © LAND USE APPLICATION snss <br /> C MIFD)CAL.WASTE FACtLJTY 'ED PUELIC WATER SYSTEI4 Q OT11ER(PLEASE SPECIFY,ABOVE,I <br /> 1. List up to ten addressee,in the space above. Select the types)Of tiles from the Gat above by Checking <br /> the appropriate box(es). At least one rile type MUST be selected. Fax to 209)4,64,0138 or mail to the <br /> -address indicant- above. <br /> 2. E.HD will notify the applicant if any EHQ files exist, An appointmant 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 rnaMrnum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked an by END staff may not be immediately available for review. A new <br /> applicAtion may be submitted when the Elle,is available. <br /> 4- Any file not returned In the same condition as released will be reorganized b END <br /> of the applic3tnt, Future file reviews by the same applicant may require a$87.00 deposit prior tat theoreview, <br /> 5• ~I ENTATIVE appointment dates must be confirmed with E:HD staff, <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> i I <br /> l <br /> CONFIRMED APPOINTMENT DATE TIM): <br /> E7ATE CONFIRMED PHONE FAX INITIALS <br /> ( v�to wwe�.00 <br /> TES NO iiEV11=W DATE ^ <br /> TOTAL P,02 <br />