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, ,001 Vi <br /> 07/02/2,002_10:28 FAX ---.....- " nL <br /> 10aML48CR <br /> T3 <br /> UATE ASAN JOAQUIN COU IC SERVICES <br /> `\ ENVIRONMENTAL HEALTH DIVISION <br /> "' D <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> O \ Z'2a (209)X468.3420 ON <br /> PUBLIC RECORDS RELEASE APPL.ICATI <br /> J a `bO,TrI F,fJ�Leo�(Mit.fTa�— Cb,ntul.Trl�+rt �,fc, <br /> APPLICANT �t14� BE�an BUSINESS/AGENCY <br /> ADDRESS �t6'Q CIM �R���r Sv/T� <br /> PHONE �$8� '01'1-f- FACSIMILE--- ILLS 6 >t'r <br /> TENTATIVE"APPOINTMENT DATEY la 'ydo�- <br /> TIME <br /> . (Please give 7 10 busl 1111's d <br /> dppllcat' submittal) <br /> :5' <br /> CESSED 1 BU ESS DAYS i <br /> CHECK BOX TO EXPEDITE REQU IT-$B9.00 -REQ S 4 'T o�- .• <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> THIS SIDE EHD STAFF: „114ANLY <br /> FILE ADDRESS PROGRAM ELEMENT RCH <br /> 307 >atrrRAM n+6R JE } cl•r.� <br /> • Stk1'r 1 d `� � . <br /> �.a6 RL +�' SfuE�en Cf4 57rtT/a I I t R o <br /> c CA io>J n144 <br /> a,3s+ a er. <br /> r. <br /> ENVIRONMENTAL.HEALTH DIVISION FILES <br /> -/ O HOUSING ABATEMENT ❑ SOLID WASTE Fkt <br /> E UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ FOOD FACILITY CI SOLID WASTE V> <br /> ❑ THER CLEANUP SIM(NON LOP) ❑ DAIRY '` <br /> f� ❑ DOG KENNEL ❑ PKG-�ATMENT T <br /> G UNDERGROUND TANK(MONITORINGIREMOVAL) 13 CHICKEN RANCH 0 PUMPER TRUCK11AAPMHEM TOILETS <br /> O }HAZARDOUS WASTE GENERATOR CI MMLJHOTEL ❑ LAND USE APPL16kiiaN SrMs <br /> TIERED PERMITTED FACILITY ❑ POOLISPA C] DTWL?R(PLEASE 5 CIFY Agt7VE) <br /> O TATTOOIBODY PEIRCING ❑ PUBLIC WATER SYSTEM ,,i <br /> ❑ MEDICAL WASTE FACILITY ;•.' checking <br /> Space above. Select the types)of files from the list;4v checking <br /> to the <br /> List up to ten addresses In the sp MUST be selected. Fax to 209 4 - �} <br /> _ the appropriate box(es). At least one file typeI <br /> address Indicated above. EHD files exist- An appointment for review will tFe';'�onf(rmed <br /> x, EHD will notify the applicant if any �p da s after receipt of a4ttif�t�'tion. The files <br /> A approximately five business days but no later than <br /> ten <br /> r V1e) Appointments should 0�*dcheduled' <br /> will be held for a maximum of five business day availabler'for review. Anew <br /> accordingly. EHD staff may not be Immediately ,; <br /> 3. A file that Is actively being Worked an by <br /> application may be submitted when the file is available. EHD'sxnff at the expense <br /> dvvilmay require a$89.00 deposit prior to review. <br /> 4. Any.file not returned in the Samecondition he sam9 applicant d will be reorganized y <br /> of the appliCant. Future filo Y !.. <br /> 5, <br /> *TENTATIVE appointment dates must be ill bepracasseded ithe next businass day. <br /> g, <br /> Applications received after 3:00 pn+ <br /> TIME •, ' <br /> CONFIRMED APPOINTMENT DATE. INITIAL- . � <br /> pHONE FAX <br /> DATE CONFIRMED , <br /> REVIEWED <br /> YES NO REVIEW DAVE <br />