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T,4' xi--'A � : 53P Krazan nd Assoc 559 34— 2190 P . 01 <br /> DATE RSMMI EHD 4DG NUMBS-54 <br /> SAKI JOAQUIN COUNTYPUBLIC HEALTH SERVIGtS <br /> ` ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> "?%SE ','ICE� <br /> STOCKTON CA 95202 <br /> (eas)468-3420 <br /> cc PUBLIC RECORDS RELEASE APPLICATION ., <br /> APPLICANT BUSINESSIAGENCY k'A/Z��3 l�OC =I)- _ <br /> ADDRESS A-A-17 - i (i <br /> PHONE�5 1 J�9 - "t� FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE !_'7r 'ZOd TIE <br /> (Please glv9 7 to 10 business oifyi from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST .0 EST PROCESSED 1N 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMF-NTS SEARGti <br /> US ,I <br /> c - Av <br /> A(SI C8&t^ Alli lad U'ST I; <br /> Lo T"' <br /> 11171 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE MEHICLE <br /> -*�,UNDBRGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MO TEUHOTEL ❑ PUMPER TRUCKfYARDYCHEM TOIJLETS <br /> 0 TAT7001BODY PEIRCING 0 POOLlSPA ❑ LAND USE APPLICATION SITES <br /> o MEDICAL WASTE FACILrTY 0 PUBLIC WATER SYSInM ❑ OTHER tPLEASE SPECIFY ABOVE) <br /> I List up to ten addresses in the space above. Select the type(s)of frles from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209) 464-0139 or mail to the <br /> address indicated above. <br /> 2. EHD 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 Elft] staff may not be immediately available for review. A new <br /> application may be submitted when tate file is available. <br /> 4. Any file not returned In the same condltlon as released will be reorganized by EHO 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 /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the noxt businoss day. <br /> i <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INtT1ALS <br /> REVIEWED YES NO REVIEW DATET " <br /> L :nfi_nnr - — — — e' <br /> Ee,-11-2002 MON 10:51AM ID:ICRAZAN AND ASSOC PACaE:l <br />