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---06,,09/2001 10:23 FAX 209 9460021 <br /> III - X002/002 <br /> AAT&R.WQVE6 !! �,I �L" , <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES EMO LOG NUMBER <br /> JUN 0 9 2004 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> tNVIRUNIVIENT HEALTH STOCKTON CA 115202 <br /> PERMIT/SERVICES (209) 4663420 <br /> _ PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT_ t� JII S IAL, .� 15USINES31AGENCY I-i.% It <br /> ADDRESS _ l��.R-t�.�� -Tp CL <br /> PHONEq/"4a— FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE 6 I J qD TIME 7 � <br /> (Please give 7 to 10 buslne�ss days from date of application submittal) <br /> CHECK BOX TO EXPEL]"REQUEST- .00 FEE QUST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTDATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM OLEMENTS SEARCH <br /> 1 <br /> 0 <br /> v5 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 110UNDERGROUND TANK(UST]CLEANUP SITE(LOP) 13HOUSING ABATEMENT P1 SOLID WASTE FACILITY <br /> Ia OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK.(MONfTORINGIREMOVAL) Q DOG KENNEL � DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTEUHOTELO PUMPER TRUCKlYARD/CHEMTOILETS <br /> CITATTOOMODY PEIRCING 0 POOUSPA . IR LAND USE APPLICATION SITES <br /> C1 MEDICAL WASTE FACILITY qd PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of.files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mall 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 nen <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 S';87.00 depoSlt'pr r a revlaw <br /> 5. *TENTATIVE a <br /> ppointment dates must be confirmed with EHD staff.. t. <br /> 6. Applications received after 3:00 pm will be processed the next busines�ddy. -= ` <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />