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1 <br /> NOV-22-2004 MON 02:29 F— 'wining Labs FAX N0. —r9 268 7126 P. 02 <br /> 10/19/2004 14:30 2FIFTH FLOOR PAGE 02 <br /> / W � b83433_. ..,.._........».....• <br /> D--) SAN Jo,aQuIN COUNTY E� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> I 304 EAST WEBER AVENUE,THIRD FLOOR <br /> i <br /> NOV' 2 2 2004 STOCKTON CA 95202 <br /> (209)468.3420 �5 <br /> ENVIRONNIC-i\JT HLEHLi ri PUBUC RECORDS RELEASE APPLICATIO <br /> t �C rwln�rj L��L,ofc.iorl�S Ir�C, <br /> O S U 6UStNE3S/AGENCY <br /> APPLI77— <br /> CANT �` <br /> ADDRESS ZK2� .�teSno S+✓eet Fie s no CA <br /> PHONE 55q-2fAMMILE L 55q <br /> i 2- PTENTATIVE'APPOINTMENT DATE �e C' �O� T1MB I <br /> hrom d <br /> (Please give T to 10 buslaesS daSPS ate of ePPNcatlott submittap <br /> CHECK BOX TO EXPEDITE REQUEST-$0.09 FEE-REQUeST PROCESSED.IN.3 BUSINESS DAYS <br /> �\ SIGNATURE OF APPLICANT I(�VQIx DATE l <br /> j Tti SIDE EHo STAFF USE ONLY <br /> FILE ADORESS PROORAM EL><MSEARCH <br /> ! -3,.5,s5 W l om n-ef La rL2 �\p� <br /> 34 3 4 tla mr r �ctr� <br /> 7 `\ <br /> 34 z'Z <br /> 2,2`50 UJ Hqmrycr a / <br /> 4 <br /> yr <br /> EINVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SrrE(LOP) la HOUSING A$ATEMENT d SOLID WASTE FACU rI'Y <br /> PL OTHER CLEANUP SITE(NOOP) Q FOOD.FACILr Y ❑ SOLID WASTE YEHICL!' <br /> N <br /> PL UNDERGROUND TANK(rd O"ITORINGFREMOVAL) ❑ DOQ KENNEL- EN7 PLANT <br /> 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR ci CHICKEN RANCH Q PKG TR1:AY-NI <br /> !a MOTELHOTEL 0 PUMPER TRUCK/YARD/CHEM T01LET5 <br /> i ';Z TIERED PERMIT OD FACILITY O POOUSPA <br /> TOO0 LAND USE`APPLICATION SITES <br /> 0 TATIBODY PEIRCIZ•!G OTHER(PLEASE SPECIFY) Cie }ter S <br /> I CI MEDICAL WASTE FACILITY )� <br /> 1. List up to ten addresses in the space abovi. Solect the type(s)of files from the IIsi above by checking <br /> the appropriate box(es). At least one file type MUST be selected_ to the <br /> address Indicated above. <br /> 2. EHD will notify tfle applicant if any EHti 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 tiles <br /> will.be hold for a maximum of five business days for review. Appointments should be schsdufed <br /> accordingly: <br /> 3: A file,that Is actively being worked an by EHD staff may not be immediately available for review. A new <br /> application maybe 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 eppllcant. 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 9:00 pm will be processed the.next business day. <br /> CONFIRMED APPOINTMENT DATE I{ U LO TIME <br /> DATE CONFIRMED HONE FAX INCTIALS i�•-- - <br /> REVIEWED YES NO REVIEW DATE <br /> EKO 46-02-004 . <br /> snmxaw .. <br />