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05/08/2003 13:50 FAX rA 002 <br /> RECLVfiD <br /> -- '!SAN JC%rjrjjj41JIN COUNTYPUBLIC HEALTH : IVICES <br /> ENVIRONMENTAL HEALTH DIVISIO''� <br /> 304 EAST WEBER AVENUE,.THIRD FLOOR <br /> fVi,V 0 8 4003 STOCKTON CA 96202 <br /> 09 8.3420 <br /> (2 )46 <br /> •`PUBLIC RECORDS RELEASE APP�LIC:A�TI(�[�l <br /> l �Q,�yp• f � BUSINES:JAGENCY <br /> APPLICANT Lam. ,G>t- �(,,"t :A <br /> 3 (oak ba1t c� )s1'e. °, <br /> ADDRESS - U q[(.. b3�j • fir <br /> PHONE FACSIMILE� •— <br /> TENTATIVE'APPOINTMENT DATE ��^ tA*j 14,Z603 TIME_ - ' <br /> (Please give 7 to 10 busineso days from date of application submittal) , <br /> t3 <br /> D IN 3 SUSINES3 PAYS ! Iq <br /> E REQUEST-$78.00 FEE–RCQ OCES9E l �7 <br /> CHECK BOX TO EXPEDITE DATE <br /> SIGNATURE OF APPLICANT 3�Ay, <br /> FILE ADDRESS THIS SIDE� -10.>TAFF USE LY <br /> ON <br /> PRG6I,.4U.jLEMENTs SEARCH <br /> Z <br /> G •S C4 ( a , <br /> air t� o�tv Ij <br /> d 1 hw,rl LSC LD CA <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ra :.iOLW WASTC FACILrrY <br /> CUNVERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 13..,OUt)WASTE VEHICIA <br /> d OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILrtY 17 DAIRY <br /> gruNDERGROUND TANK(MONITORINGUREMOVAL) ❑ DOG KENNEL 13 PKG rREATmFrT PLANT <br /> O HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 13 PUM:IER TRUCK/YARDlCHEM TOILETS <br /> 0 TIERED PERMITTED FACILITY C3 MOTEUHOTEL W M LAND USE APPLICATION SITES <br /> E3TATTOOBODY PEIRCINQ O POOU la OTHER(PLeASE SPECIFY ABOVE) <br /> O MEDICAL WASTE FACILITY G PUt3LK:WATER SYSTEM <br /> 1, Select the type(s)of files from the list above by checking <br /> List up to ten addresses in the apace above. <br /> the appropriate box(es). At least one file type MUST be selected. I�;c to .(2491A °—�7ail ° <br /> address Indicate—ove. oinllnent for r�:vievv Will be t:onfinned <br /> EHD will notify the applicant if any EHD files exist. An app <br /> approximately five business days but no Inter than ten (10)day$altereipt OfuldPb02tion.sGheT114 files <br /> will be held for a maximum of five business days for review. Appointments <br /> uW <br /> accordingly. <br /> - 13, A fits that is actively being worked on by EHD staff may not boirnrnediatoly available for review. Anew <br /> application may be submitted when the file is available. <br /> 4• Any file not returned In the same condition as released cv�l May re.require re a.'S S�EMO staff at the expense t prior to review. <br /> of the applicant. Future file reviews by the same app <br /> 5. *TENTATIVE appointment dates musk be confirmed with EHD staff• <br /> 6. Applications received after 3:00 pm will be processed the next business da s -v <br /> I CONFIRMED APPOINTMENT DATE TIME <br /> EDATE CONFIRMED <br /> PHONE FAX IN ITIALS <br /> lEWEO• YES NO REVIEW DATE: ^„ -- <br /> EM ao 14 4MO TOTAL P.02 <br />