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ENVIRONMENTAL HEALT"M PAGE 01 <br /> 05/31/2002 15:06 4640136 WHO koo Numfim <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> J, <br /> STOCKTON CA 95202 <br /> (209)468-3420 FAX Czm)+ <br /> 'PUBLIC; RECORDS RELEASE APPLICATION <br /> POICANT 71h BUSINESS/AGENCY BUSINESSIAGENCY e,,L, <br /> ADDRESS 0 - vox //06 <br /> PHONE - 5�3 IS'-7 /FACSIMILE <br /> NTATIVE*APPOINTMENT DATE0 -127- <br /> - TIME <br /> (Please give submittal) <br /> 71 10 uslylvis qwwrn olwwf applic Ion <br /> B INESS DAYS <br /> 0 <br /> CHECK BOX TO EXPEDITE REQ U �,S DT .%;?A 3 7-0 Z <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> Wo 0"fK If 4-�-- <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 0 SOLID WASTE FACILITY <br /> ZUNDERGROUND TANK(UST)CLEANUP SITE(LOP) c3 HOUSING ABATEMENT <br /> 0 FOOD FACILTTY E3 SOLID WASTE VEHICLE <br /> :-.UONTHER CLEANUP SITE(NON-LOP) Cl 0 DAIRY <br /> ❑ 'NUERGROUND TANK(MONrTORINGJREMOVAL) 0 DW KENNEL <br /> j CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> HAZARDOUS WkSTE GENERATOR-- r3 MOTELIHOTEL 0 PUMPER TRUCKIYARDICHEM TOI*LETS <br /> 13 TIERED PERMITTED FACILITY C3 POOUSPA 13 LAND USE APPLICATION SITES <br /> * TATTOOIBODY PEIRCiNG <br /> * MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM CI OTHER(PLEASE SPECIFY ABOVE) <br /> space above, Select the type(s)of files from the list above by checking <br /> 1. List Up to ton addresses in the the <br /> the appropriate box(es). At least one file type MUST be selected. <br /> Fax to(209)An appointment for review will be confirmed <br /> applicant If an <br /> address <br /> indicatedthe buyy*EHD files exist. <br /> Itnotify <br /> 2. EHD <br /> aproximately fie business days but no later th2n ten(10)days after reCeiPt of applicion. The rites <br /> willpbe held for avmaximum of five business days for review. Appointments should be satcheduled <br /> accordingly.actively being worked on by EHD staff may not be immediately available for review. Anew 3. Afileth3tiSac when the file I$available. <br /> application may be submitted w <br /> 4. Any file not returned in the same condition 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 /> 5. 'TENTATIVE appointMent dates must be conrirmed with EHD staff. <br /> 6. A ,processed the next business day. <br /> pplintions,received after 3:00 pm will be <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> PHONE FAX INITIALS <br /> DATE CONFIRMED <br /> CONFIRMED APPOINTMENT DATE. <br /> T CONFIRMIE <br /> DATE D <br /> Y REVIEW DATE <br /> REVIEWED <br /> ES NO <br /> REVIEWED YES 0 <br /> Post-it"�Fa"X Noto 7671 Daw <br /> T, i FrOM <br /> 5( <br /> 0 . _134 <br /> yPM.at,aezo <br /> FaxI o ? <br /> eSj :L0 �!o Lo unC <br /> T <br />