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S— 1-02; 4:02AM; 1T/EM ;916 929 3341 # 7 <br /> w <br /> 04/30/2002 15:51 4640138 ENVIRONMENTAL HEALTH <br /> DATE Rriccw Hu eR <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ANVIRONMENTAL HEALTH DIVISION <br /> C 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)4683420 ;. ;; '10f�i j L: !;9 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTC ATN1 i�(ti`Gr �i 1�e{�4-��J BUSINESSIAGENCY lT <br /> ADDRESS Ja_Z( 0, G/r1✓ /�t'�' QUA _�R1�((li -K/ C,7�/� Q`if+��— J9/Z <br /> PHONE 9((o 515-4350 FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> (Please give 7 to 10 business d from appllca submittal) <br /> ❑ <br /> YCW REQUdOCE 3 B NESS DAYS <br /> CHECK 80xTO EXPEDITE REQUEST $89 <br /> SIGNATURE OF APPLICANT / - DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> R4ddA2 L40' <br /> Z90 <br /> }.te <br /> G Xl a r i — 6d. 557-4 <br /> i 5' <br /> rQ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> If UNDERGROUND TANK(UST)CLEANUP SrM(LOP) 17 HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> 12 OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 17 SOLID WASTE VEHICLE <br /> SQ UNDERGROUND TANK(MONITORINGIREMOVAL) 13 DOG KENNEL- ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR O CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> ❑ PUMPER TRUCWYA <br /> 0 TIERED PERMITTED FACILITY Q MoTEUHOTEL rr <br /> E] TATTOOISODY PEIRCING Q POOL/SPA0 LAND USE APPLICATION <br /> ION TOILETS <br /> SITES <br /> O OTHER(PLEASE SPECIFY ABOVE) <br /> Q MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM <br /> 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 file 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 (1o) 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 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 confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX -INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />