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Apr 23 2003 8: 06AM 5 408 'E;041 1 p. 2 <br /> �1�4I.2Wq 03,1; T 13 I '1 4640138 SAN .101alalllN COUNTY <br /> AL HE4L01 <br /> TH i?CGE <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> APR 2 3 2003 344 EAST WEBER AVENUE,THIRD(FLOOR 8 <br /> STOCKTON CA 95202 <br /> ENVI(i,.it�if,,4F_ JT HEAL(H (tae)468.3420 <br /> 11 F0 4IT,QrPUBLIC RECORDS RELEASE APPLICATION <br /> /� to aa�y <br /> APPLICANT BUSINESS/AGENCY Svr)l rn 1 -r-- <br /> ADDRESS <br /> s—ADDRESS /Zy 0 0 49 /JLL IQVJ Sn" - <br /> PHONE,N_ 7 fl 'S �'��_. FACSIMILE.--T__�� 7b Z__���I <br /> TENTATkVE APPOt?IT'M <br /> ENT DATE TIME <br /> (Plvaae give 7 to 10 budrMe daya from date of appfkmtia►99A)MittRI) o <br /> © CHECK BOX TO EXPEDITE REQUEST• 99.00 PHE-REQUEST PROCEASED IN 3 BUSINESS DA" p <br /> SIGNATURE OF APPLICANT -�— -- Df%TE. <br /> THISSll]S END STfFF U9G ONLY <br /> FILE ADDRESS PROGRAM ELPMENT I SEARCH <br /> ZNVIRONMENTAL HEALTH DIVISION FILES <br /> UNORROROUNO TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEL'ENT ❑ SOLID WASTE FACILITY <br /> ❑ FOOD FACILITY E3 SOLID WASTE:VGHIGLE <br /> OTHER CLEANUP SITE(NON-LOP) C3 EIAIPy <br /> UNDERGROUND TANK(MONITOR1E3 DOG KFNF11?:L <br /> NWREMOVAL) C3 0 Fite TREATMENT PLANT <br /> HAZARDOUS wASTE GENECHKF <br /> RATOR CHICKEN RANCH ❑ FIJNIPER T'RucKfYAR=HlW TOgLETS <br /> ❑ TIERED PERMITTEDp IOTE KACILITY 0 POOU$PA m LANI)USP'_'APPLICATION SMES <br /> ❑ TATTOOMEDICAL <br /> WASODY PEPACILa 0 ATHBR(PLEASE SPECIFY)-- <br /> iMEDICAL WASTE PACa.nY <br /> 1 List up to ten addresses In the spate above. Select the typos)of fila,fr+am the r.1:!11 above by Checking <br /> the approprist4 box(es). At least one flue type MUST be selected. E:F <br /> agA[20 Indicated above. <br /> 2, EHD will notify the applicant If any EHD files exist. An appointITe iter rec+aifor 'Pt of 31plaltcatIon�TMO films <br /> approximately fivo business days but no later than tW(1b)days <br /> will bo held Fora maximum of five business days for review. Appointrnellts should;be sehodulod <br /> accordingly. <br /> 3. A file that IS actively being worked on by EHD Staff may not be immedlatnlY available for ro��low. natty <br /> application may be submittsd when the file Is available. <br /> 4• Any file not returned in the same oondlUon as released will be rear uer b 041 stafftat io eta Tavllaw. <br /> of the applicant. Fulturo file mviewu by the same applicant may rqlr <br /> b• -TENTATIVE appointment data$must be confirmed with EHD staff. <br /> 6. Applications revolved after 3:OQ pm will be processed the next bufxin&w 4AY. <br /> CONFFRMED APPOINTMENT DATE TIME - --_ <br /> DATE CONFIRMED <br /> PHONPE FAX. IM MALS <br /> REVIEWED YE8 NO REVIEW DATE <br /> 6 <br /> z4v*000 <br />