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03/18/2004 07:3391 URS CONSTRU�VS PAGE 01/ <br /> DATE> Sm Loo NUMM <br /> fo I_ - ISI ALTH S <br /> }�,- SAN JOAQUIN COUNTYPUBLIC HEALTH <br /> f�L(� --1 <br /> J �J DD ENVIRONMENTAL HEALTH DNISION <br /> 304 EAST WEBER AVENUE,THIRD FLOC7R <br /> MAR 1 8 2004 STOCKTON CA 95202 <br /> (209)468.3420 <br /> tiVViRuivIdEW-f HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT C,-!I ALL I BUSINESSIAGE_ NCY S <br /> ADDRESS�l�� �S Sof-r TF PI�C�i'� f -Cj jTF <br /> HONE ( -Z?I 'Z3� FACSIMILE <br /> r <br /> TENTATNE'APPOINTMENT DATE 3 TIME <br /> (Please give 7 to 10 business days Imm date of appli=tion w6rnittai) <br /> CHECK BOX TO EXPEDITE RE-QUEST.389�-REQUEST PRCCESSEQ IN 3 BUSINESS DAYS v - <br /> *SIGNATURE OF APPLICANT _ DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARC11 <br /> T'QtJ _( f7oels <br /> 1 i <br /> 1 7 <br /> I <br /> { <br /> i � ! <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> t DERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSiNG ABATB"AENT ❑ SCLID WASTe FACILITY <br /> l.S",OTHER CLEANUP SITE(NO"OP) ❑ FOOD FACILITY Q SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIRFNAOVAL) C: DOG KENNEL Q DAIRY <br /> AZARDOUS WASTE GENERATOR 0 CHICKEN RANCH C PKG TREATMENT PLANT <br /> I] TIERED PERMITTED FitnJ l` ❑ MOTELMO7EL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> PATTOOI90DY Prmci G ❑ POOLSPA 12 LAND USE APPLICATION S[rES <br /> EDICAL WASTE FACILITY ❑ G OTHER(PLEASE SPECIFY ASOVEI <br /> 1. List up to ten addresses in the space above. Select the tyl*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 mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any E210 files exiSt. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10) days after receipt of appiicatlon. The files <br /> will be held for a maAMUM of five business days for review. Appointments should be scheduied <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 /> S. "'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received atter 3:00 prn will be processed the next business day. <br /> Poat4r Fax Note 7871 4-1-03 arm i- <br /> CONFIRMED APPOINTMENT DATE I Co.F11IGm Ca <br /> DATE CONFIRMED Pic A pa" W <br /> REY25VED 'les NO �il4� �7048' w:• ZKaq- __- <br />