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** 10*3Jtid _ld101 ** ` <br /> trn+iKunMtniWL NtALT" PAGE 01 <br /> �...nevdrell �1. <br /> SAN JOAQUIN COUNTYPUBL•1C HEALTH SERVICES <br /> r1 �"/ � DJ ENVIRONMENTAL. HEALTH DIVISION i <br /> �I 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> JAN 15 2003 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ( 1 M1 h BU-SINESS/AGENCY ST- <br /> ADDRESS ZL D. ide��(r _ ,S�'P_ <br /> PHONE 5 1 D' U j q_ a 0 Q FACSIMILE 51 "- ?,+-"Z/7& <br /> TENTATIVE'APPOINTMENT DATE Da3 TIME I I b\r h 1 h 14 <br /> (Please give?to 10 bu ineas days from date of application submittal) <br /> CHECK BOX TO EXPEDITE RE EST-$89.00 FEE EQUEST PROCESSED IN S BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS TH15 SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> mjinst. + ST i <br /> i SI. V/ W <br /> J N.7 L QST <br /> )�r7c U <br /> ENVIRONMENTAL HtALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) .O HOUSING ABATEMENT ❑ SOLID WASTE FAC1U1Y <br /> *OTHER CLEANUP SITE(NON-LOP) G FOOD FACILITY t7 501.!0 WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL. ❑ DAIRY <br /> O HAZARDOUS WASTE GENERATOR O CHICKEN RANCH O PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY O MOTEUHOTEL ' O PUMPER TRUCIVYARDICHEM TOILVS <br /> ❑ TAT 00MODY PEIRCING O POOtJ6PA O LAND USE APPLICATION Sn'E5 <br /> O MEDICAL WASTE FACILITY O PUBLIC WATER SYSTEM LO .OTHER(PLEASE SPECIFY ABOVE <br /> 1, List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate boX(eS). At least one filo type MUST be selected. Fax to(209)464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointment$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 condition as released wilt 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 EHO staff. <br /> 6. Applications received after 3:00 pm w111 be processed the next business day. <br /> CONFIRMED-APPOINTMENT DATE _ TIME, <br /> DATE CONFIRMED PHONE . FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> .ate+aoi <br /> ti0iti0'd 8Ei01:79b60zZ 01 , <br />