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,10130(2002 14:21 4640101 <br /> ENVIROh1NtENTAL HEAL -- PAGE 01 <br /> onu u.n�.nu nmt NumGq <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES I ���O ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR 1 <br /> STOCKTON CA 952D2 <br /> (209)468.3420 NOV 0 1 2002 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> C-AL_n ^� 7 yr TH <br /> APPLICANT )C' I -Ei-A �-C BUSINESSIAGENCY�7-. 1I/'t- �7�TI"I `-f�' CES <br /> ADDRESS•� � Ho-,'24�eo 'IMn t� / t. - �joZ�. <br /> PHONEC �' &cQ '9333 FAf,SiMILE "1O-r> ,1A <br /> TENTATIVE*APPOwTMENTDATE O7 OZ TIME /%1 �' AN, <br /> (Please Clive 7 to 10limIn ss day's from date of eppllcallon submUUq <br /> 0 CHECK BOX TO EXPEDITE REQ EST• -E EOIUE,ST: Oa' S51A9 <br /> SIGNATURE OF APPLICAN �'Lk �C� 3f 02--. ' <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> i a Tieue k v <br /> 3 t� tic oA) MULA,( o <br /> �. IPON WON N("tf1 C / .ir <br /> b <2 7 4 K <br /> Ar^ N171,151 1 !' f �S L% ' • <br /> �D <br /> U <br /> y� ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 17 HOUSING ABATEMENT 11 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> ,l4( UNDERGROUND TANK(MDNITORINGIREMOVALI 0 DOG KENNEL 0 DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR O CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTEUHOTEL 0 PUMPER TRUCKIYARDICHEM TOILETS <br /> 0 TATToonlooY PEIRCING 0 POOUSPA Cl LAID USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY . 0 PUBLIC WNTER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses In the space above. Select the types)of files from the list above by checking <br /> the appropriate 4ox(es). At least one filo type MUST be selected. Fax to(2091 464.0138 or mill to the <br /> address indicated above. <br /> 2. EHD will notify the applicant it any EHD riles exist. An appointment for review will be confirmed <br /> approximately five business days but no later thin ton(10)days after receipt of application. The files <br /> will ba held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Js actively baing worked on by EHD staff may not be Immediately available for review. A now <br /> application may be submitted when the 1110 Is available. <br /> 4. Any file not returned in the same condition as reloased 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 /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME. <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> T .d dLb :50 ZO 1E 100 <br />