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02/13/2003 15:09 4640130 ENNIRON4ENTAL HEALTS PAGE 02 <br /> SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES 1 Slrtti, w.� <br /> ENVIRONMENTAL HEALTH DIVISION Q <br /> FEB 13 2003 3134 EAST WEBER AVENUE THIRn FLOOR O <br /> STOCKTON CA 95202 <br /> 1_Iv r 'd�LIII (209)468.3420 Fy <br /> -E1`,'14UI3LIC RECORDS RELEASE APPLICATION } ' <br /> APPLFCANT t2 � F7 LLPJErl-T DUSINESS/AOiNCY� C G 1`( ELIN� 14L' <br /> 7_a t-lWuo AV AxASMit" L`1 99 .�\\ z T <br /> PROW, S. OL-` q'7J,O FAaSIMILF 0125/ Dz "4nW <br /> 76NTATIvg"APPOIN7MCNTUAYE Z/I.Q/03 TIME �1,L6,01 . <br /> (pleaoo oNo 7 to f0 bush a ays from dole of oppllemon svbmillal) , ^ <br /> C14ECK BOX TO EXPL•rirrE REQUEST•409.110tFR��OCESGED IN 7 6USINESS DAYS _R//t � q <br /> *SIGNATURE OF APPLICANT DATYp3� ' 7�� 1 <br /> FILE ADDRESS Title 910E ENO STAFF USE ONLY <br /> r PROGRAM pLCMENTS SEAnCH <br /> r i 7 A... .._ <br /> 1`I I t SNI l'�SNI ,.- ✓1 .� a� ,..,�_ 2._ <br /> 1'1OCA V I .. L.L;.4LY1-_ P^q. F^•" _, <br /> / all 3:�rcQzal— <br /> ENVIRONMENTAL HEALTH DIVISION FILES$ <br /> S7 UKUERGROUND TANK(II:iT)CLEANUP SITE(LOP) ❑ HOUSING AUATEMENT // SOLID wASTB FACILITY <br /> CT OTNFR CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> rATHEROROUNOYANKIl 4ONITORII{GIREMOVAL) ❑ 11aG Kp7NEL O DAIRY <br /> A]!ARDOU8 WASTE GENERATOR ❑ CNICNEN RANCH b pKG 7RfiATMENT PLANT"+ ❑ pVMPER TRUCKIYARIyCHEN YOILIM <br /> ICRUDrEnMMEbF/1c1LITY ❑ MOTELINOTEI.7TOMOOY PEIRCINO 0 POOUSPA O LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACIU7Y 0 OTHER(PLEASG SPECIFY ADOVCI <br /> 1. List up to ton addresses In the space above. Select the typo(a)of files from the list above by chocking <br /> the approprlato box(es). At las9t ono Rlc typo MUST be selected. FaRA (9061 464-6796 or mnil to the <br /> addrpbb IndicHed above,. <br /> 2 EHD will nality the applicant if any EHD files exist. An appoinlmont for raVlow Will bo confirmed <br /> approximately five buslnass days but no later than ton(10)days atter receipt of application. The files <br /> will be hold for a maximum of five business days for review. Appointments should be schadulad <br /> accordingly. <br /> 3. A file thatlu actively being worked on by EHD staff may nOl be Immedintoiy avall.oblo for review. A now <br /> application truly be submitted when the file is available <br /> 4. Any file not returned III the some condition as released will be reorganized by EHD staff atmh""orwe n <br /> of the applicant. Future Rin reviews by the same applicant may require a $69.00 deposit prior to revlew; ' <br /> S. 'TENTATM appointment dates must be confirmed with EHD staff.. `.6. Applications recoived eller 3:00 pm will be prncossod the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED 'YES NO REVIEW DATE r <br /> Zd WdZ£:S0 £00Z 2T 'Clad 022pZ09SZ6 : 'ON XUA 311j WOaj <br />