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07/17/2003 10:37 8183634894 JMK ENVIRONMENTAL PAGE 02 <br /> OATEmcErwD JUL 17 <br /> 8D LOG►1lM8ER <br /> r i'I(. i- : AN JOAQUIN COUNTY <br /> .I , <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> JUL 1 7 2003 STOCKTON CA 95202 <br /> (209)468.3420 <br /> PUBLIC RECORDS RELEASE <br /> t{ APPLICATION <br /> Kos (1k" GItUl�tlulta' � <br /> 1{ pp ��pp BU$INESStAGENCY ( /� Q <br /> ADDRESS yy`VT iulc C./ V�I `f10048k RA< , (NA --1 P <br /> PHON .1 FACSIMILE I <br /> TENTATIVE`APPOINTMEN I DATE 7/al TIME _ I I` 4.M <br /> (Please give T to 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST.$89.00 FEE—RE UEST PROCESS IN 313USINESS DAYS M , <br /> SIGNATURE OF APPLICANT DATE -77/-7/,03 <br /> � e <br /> FILEADDRESS THIS SIDE EMD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> Vis, tt l <br /> as <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ��NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> 9 OTHER CLEANUP SrrE(NON-LOP) ❑ FOOD FACILITY O SOLID WASTE VEHICLE <br /> 19 UNDERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENNEL 0 DAIRY <br /> ❑ HAZAROOUS WASTE GENERATOR Cl CHICKEN RANt;H d PKC9 TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEU HOTEL O PUMPER TRUCK/YARDlCHEM TOILETS <br /> ❑ TATTOOMODY PEIRCING ❑ POOLISPA In LAND USE APPLICATION SITES <br /> 17 MEDICAL WASTE FACILITY O OTHER(PI FASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of flies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)4640138 or mail to the <br /> address Indicated above. <br /> 2. END will notify the applicant if any EHD fries 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 condition as released will be reorganized by EHD staff at the expense <br /> of thR applicant. Future file rPvirwc by the camp applicant may raqulna a$89.00 dapoclt prior to ravloW. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> fi. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT,DATE TIME. <br /> DATE.CONFIRMEDPHONE FAX.•'. ... INITWLS <br /> REVIEWED• YES <br /> NO <br /> EHP -0REVIEW DATE ; <br /> 7RD7IDD1 <br />