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** 10*39dd 1F1101 ** tM/1KUPMNiAL HLALT' PAGE 01 <br /> �•...ncvcv Ill �'� `i� . <br /> SAN JOAQUIN COUNTYPUBL'IC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> on R C W 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 . <br /> (209)468-3420 <br /> JAN 1 5 2003 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �Pf . ) H I L,0 ,(j Y rQ h BUSINESSlAGENCY_ P S T <br /> iiiADDRESS 1(���Cl�t✓ - l5 <br /> r[ 7 IC j v><•� �i1 J�AP v I <br /> PHONE 51 D• _4___9;_Ot ) FACSIMILE 510- "13`i-L /0'7 b <br /> TENTATIVE*APPOINTMENT DATE TTIdt; YYI Oar n I h <br /> (Please give?to 10 bu iness s from date of app11cation submittal) <br /> u CHECK BOX TO EXPEDITE REQUEST-409,00 FEB EQUEST PROCESSED M S BUSINESS DAYS , •� <br /> SIGNATURE OF APPLICANT DATE 41).3 <br /> FILE ADDRE55 T'H15 SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> ti. m ci i nst. + US <br /> 4C <br /> M. Ma'in 9. 11 I.M t"A <br /> #De7 1,UST �r <br /> I�r7� MA EPAU <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) .❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) O DOG KENNEL O DAIRY <br /> O HAZARDOUS WASTE GENERATOR Cl CHICKEN RANCH O PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY O MOTELIHOTEL ' 0 PUMPER TRUCK/YARDICHEM TOILETS <br /> O TATTOOIBODY PEIRCING O POOUBPA ❑ LAND USE APPLICATION SIT95 <br /> O MEDICAL WASTE FACILITY Q PUBLIC WATER SYSTEM 0 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 mail to the <br /> address indicated above. <br /> 2. END 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 conditlon 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 END staff. <br /> 6. Applications received after 3:o0 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 /> ORVM<n•l.ffJ11 <br /> TO/To*d 8£Z0b9b60ZT Ol di eo:ZT 200E ST NUt <br />