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16/15/2002 06:18 _ 7074528413 __ JEAN HUGHES <br /> SAN JO UIN COUNTYPUELIC HEALTH SEMVICEor <br /> ENVIRONMENTAL EN <br /> rAL <br /> HEALTH DIVISION � <br /> 304 EAST WEBER AVENUE,THIRD FLOOR on �I' <br /> STOCKTON CA 93202 <br /> '. '' (300)41116-3420 <br /> PUBLIC RECORDS RELEASE APPLICATIOWCT 1 5 2002 <br /> APPLICANT 1 r DUAIKEMAO NICY <br /> IT <br /> ADDRESS D 0.Y 11 <br /> PHONE FAGa11YIIL!!< iWi r <br /> TENTATIVE*APPo1NTmENfTGATE T'tM r� TIME <br /> ' (PAs..SInI too bLakow� M. on loubmht.l) <br /> CHECK BOX To E)(PEDITE REGUES -$".00 FEE_RE 7 ROC 1 BUSIHES3 DAYS <br /> SIGNATURE OF APPLICANT DATE I Wk 9 <br /> r FILE ADDRESS THIS 21011 E"b STAFF USE ONLY <br /> }1 PROGRAM ELEMENTS SEMC14 <br /> C.t C <br /> LEI <br /> ENVIRONMENTAL HEALTH DNISION-FILES <br /> 16 UNIDF RGROUND TANK(UST)CLEANUP SITE(Lop) In %OUSWG ASATEMENfT ❑ SOLID WASTE FACILITY <br /> 01NgR CLEANUP SITE(NoN.ZOp) Ia FOOD FACILITY ❑ sfOLIO WASTE VEHICLK <br /> ; UHDEIRGROUNO TANK(MONITORimarREMOVAL) a DOG KENNEL M DAIRY <br /> HALAItDOUS WASTE GENERATOR C CHICKEN RANCH D PKG TREATMENT PLANT <br /> ❑ Tie t o PERMITTED FACILITY ❑ MOTELMOTEL ❑ PUMPER TRUCKAYARDICHEM TOILETS . <br /> C3 TATT=BODY PEIRC NG ❑ POOI„/>]PA O LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY JWPU1tUC WATM SYSTEM? O OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List 1up 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)464-0128 or reall to the <br /> mess Indicated abeve" <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately flNin business days but no Inter than ton(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 file that Is actively being worked on by EHD staff may not be Immediately available for revleW.,Allow <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 expanse <br /> of the Applicant Future file reviews by the same applicant may require a$09.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be conflrMed with EHD staff. <br /> 6• Applications received after 3;00 pm Will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATe TIME <br /> DATE CONFIRMED PHONE FAX INITIAL$ <br /> REVIEWED YES NO REVIEW DATE <br />