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Aug 12 02 12: 31p Horizon Env. Inc 916 939 2172 <br /> 08/12/2802 12:35 4640138 P. <br /> ENVIRONMtENTAL HEALTH <br /> uAi k N¢,uvko <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVIC <br /> ENVIRONMENTAL HEALTH EALTH DIVISION <br /> 304 EAST WE89R AVENUE,THIRD FLOOa AUG 12 2002 <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATI ENVIRONMENT HEALTH <br /> APPLK:ANT_ Y`p� e ', BUSINESSIAGENCY ov I- <br /> AoOItESs 50 II ��O�Q.r. �n DrG <br /> PNONt 3 1— ?; I Q ,_FACSIMILE I�o. ~?_ — 7�, fri <br /> TENTATIVE•APpaaj <br /> NIMT DATE wi, <br /> ne�td <br /> 0kese plvo T l010 ss�aayc oJAIA/DAY8 cattp)1.7�Wni <br /> CHECK BOX TO EXPEDITE RFQIIFST.S89.e0TEE_ E EST PR SEO <br /> SIGNATURE OF APPLICANT E <br /> FILE ADDRESS THIS SIDE EHD STAFF USC ONLY <br /> PROGRAM ELEMENTS seARCH <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> Ar UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> 0 OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> .R UNDERGROUND TANK(MONITORINGMEMOVAL) ❑ DOG KENNEL O DAIRY <br /> 1`3 NAZAROMS WASTE CEN15PtATOR d CHICKEN RANCH O PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED PACILITY ❑ MOTELIHOTEL Cl PUMPER TRVCKfYAROICHEM TOILETS <br /> O TATTOWBODY PEIRCING O POOL/SPA d LAND USE APPLICATION SITES <br /> t7 MEDICAL WASTE FACILITY 4 PUBLIC WAYER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses In the space above. Select the type(s)of filos from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 12091464-0138 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 laterthan 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 /> J. A file lhat.is actively t)Ning worked on by EHD staff may not bo 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 /> S. '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 /> DATE CONFIRMED _ PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATL <br />