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act);11-4 `03 03 05: 12p P. 1 <br /> 1i..11 -i <br /> _..._........�_ .. _. --- _.._......... �..•-� �•. mac ut <br /> SAN JOAQUIN COUNTY UHU LUG NUMUfiN <br /> OCT 1 52003 ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 304 EAST WEBER AVENUE,THIRD FLOOR <br /> t0lg1�'i�f` HEALTI-' STOCKTON CA 95202 <br /> � <br /> 'I Wi1�?i:`j�fi i,E j (209)468-3420 - <br /> PUBLIC RECORDS RELEASE1I APPLICATION <br /> APPLICANT �� (n k `` BUSINESS/AGENCY_ <br /> C2-02— <br /> PHONE <br /> ADDRESS Ed w c- . S K ZOZ <br /> PHONE FACSIMILE / �S ( 7� 6 3 <br /> TENTATIVE`APPOINTMENT DATE TIME <br /> (Ploaso give 7 to 10 bucinecr days from date of appllcallon sutrmlltai) <br /> CHECK BOX TO EXPEDITE REQUEST-S89,00 FEE—REQUEST PROCESSED IN J BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> )V 1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES �n <br /> UNDERGROUND TANK(UST)CLEANUP SrrE(LOP) O HOUSING ABATEMENT D SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON•LOP) ❑ FOOD FACILCTY D SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(M ONITORINGlREAtOVAL) D DOG KGNNEL ❑ DAJRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY 17 MOTEUHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TAT70OlBODY PEIRCING O POOU9PA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILrrY ❑ OTHER(PLEASE SPECIFYI <br /> 1. List up to ten addresses in the space above. Select the type(S) of fifes from tho list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fqx to (209)464-0138 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 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 EHD staff may not be 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 /> 5. *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'DATE <br /> LXo.e•az•voe <br /> x,202003 J / J <br />