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X3/03/2lQ ��i�7, 289-579-2225 MODESTO ATC PAGE 01 I <br /> 'i i I_t E_'=\:� _-,- 1• -- END LOU NUIMbEi1 <br /> SAN JOAQUIN COUNTY <br /> SEP 0 4 2003 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> NVIRONMLENT HEALD'i STOCKTON CA 98202 <br /> PF I,�14Ti5ER�'�CES ., (209) 468-0420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT � {w o1' Ak 8U8lNESS1AGENCY Alc Rfflfflu <br /> ADDRESS I -T, <br /> PHONE FACSIMILE S r`t ZZZ S� <br /> TENTATIVE-APPOINTMENT DATE TIME OEC <br /> (Please give t to 10 business day$from datr of appllcatlon aubrnittal) • <br /> CHECK BOX TO EXPEDITE REQUEST-$88.00 UFE-REQUEST PROCESSED IN 3 BUSINESS SAYS <br /> S1GN,4TURE OF APPLICANTJam" DATE q1 <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> - <br /> �`C <br /> L - <br /> G-,�,,�_ a <br /> 3 •o d Me�t� . <br /> YKL- <br /> 5Q L w- Arco rt �j , <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> V UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> O OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ❑ UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL ❑ DAIRY <br /> Q HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOO/BODY PEIRCINO . ❑ POOL/8PA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑- OTHER(PLEASE SPECIFl� <br /> i. 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. Fjxt2 (ZQ2).464-0j380EMqIItQthe <br /> addregs Indicated ve. <br /> 2. EHD will notify the applicant If any EHD flies 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 fifes <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A Elie 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 sante condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews lay the game applicant may require a$89.00 deposit prior to review. <br /> 3• 'TENTATIVE appointment dates :rust be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> :i <br /> IDAT,F.0014E $p: <br /> FZYiN�E� YESSMVIt"] E <br /> areeraow �� •I�.Jti.-uf r1�t "`s(.0 �u/76i.�rn a r i m t1/Y1 <br /> �%-'x. ICaral . <br />