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Jul 24 03 02: 46p p. 1 <br /> 07/24/2003 14:31 464013 ENVIRONMENTAL HEAL'ix— PAGE 01 <br /> SAN JOAQUIN COUN,TY tMuuwkuMu►W <br /> i �:'.;! i'. �i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> 2003 STOCKTON CA 95202 <br /> ,)U i_ 2 (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> IMIV0- -- <br /> �aPeucariY.. 1�t R--tj BUSINESSIAGENCY I x i yt G <br /> ADDRESSCGS, <br /> PHONE-f InSU J S l l d ( FACSIMILE 1'(oSD) �- <br /> TENTATIVE"APPOINTMENT DATE_� ZS- �'l3 D TIME Q <br /> (Plaaao Dlvs T to Id-business days M,p date of application submittal) A <br /> CHECK BOX TO EXPEDITE -REQUEST 89.00 - <br /> Q S 1 FEE REQUEST PROCESSED IN 3 BUSINESS DAYS. <br /> SIGNATURE OF APPLICANT _ J�i(N�-�0 IJ�YQ.JZJQ DATE Z 6117 <br /> 51 <br /> 17 J <br /> FILE ADDRESS THIS SIDE EHD STAFF U E ONLY <br /> PROGRAM FLET EARCH <br /> l3�'a <br /> m A <br /> 3 A-, aU S <br /> GiV LUST � <br /> n 1 .5 • <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(USTI CLEANUP SITE(LOP) O HOUSING ABATEMENT SOLID WASTE FACILITY <br /> �50TH£R CLEANUP SITE(NON-LOP) O FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> HAZAR00US WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY 0 MOTELIHOTEL 0 PUMPER TAUCKIYARDICHHM TOILETS <br /> ❑ TATTO018ODY PEIRCING 0 POOLISPA /,M LAND USE APPLICATION SPIES <br /> 0 MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. 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 fila type MUST be selected. Fix iq 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(10)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 His 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 fue is available. <br /> 4. Any fl is not returned in the same condition as released will be reorganized by EHV staff at the expense <br /> of the applicant. Futuro file reviews by the same applicant may require a$S9.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with END 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 /> �, <br /> REVIEWED YES NO REVIEW-DATE <br /> exo u-ez-m <br /> zr2cnea� <br /> x , <br />