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JAN-31-2002 THU 11 :30 IIN HAF- •'G ESE FAX N0. 918 4H6 bbj'3 r. UL <br /> 01/31/2002 10:40 46401:_ ENVIRONMENTAL HEAL PACE 01 <br /> A7d Ri,CfiNG� !NO�,Op NU�+1oC11 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION ' <br /> 304 EAST WEBER AVENUE,THIRD FLOOR 7q's <br /> STOCKTON CA 95202 <br /> PUBLIC RECORDS9REL3EASE APPLICATION <br /> APPLICANT__ 14(Z\1 QIIi4 1In( A_�\- AUSINESSIAGENCY <br /> ADDRESS_jnZ-G 1 �.. k ; c,L1aNi <br /> PHONE �3'-6:0_ 2� FACSIMILE I�, - �v LI <br /> TENTATIVE`AI PoiNTMENT oATE TIME r • <br /> (Plo2co give 7 to 10businessdoya from d Of�pplication submittal) <br /> CHECK BOX TO EXPE <br /> pI� REQUEST•SB9.00 FEE- EQUEST Ty"O ", <br /> D IN l BUSINESS DAYS <br /> II 1 <br /> SIGNATURE OF APPLIC NT � Lt DATE <br /> FILE ADDRESS THIS SIDE CND STAPF USC ON7' <br /> PROGRAM ELEMENTS SEARCH <br /> tV14 <br /> S1Gr L r Gtl L A � <br /> f=c•rr r r` Z.la A)'r--' qtg 44 - -NO <br /> EU <br /> I I <br /> I --:FEB <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ❑ UNDERGROUND TANK(U T)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> ❑ OTHER CLEANUP SITE(NDN.LOP) ❑ FOOD FACILITY In SOLID WASTE VEHICLE <br /> >&�UNDERGROUND TANK(MONrroRING/REMOVAL) 0 DOG KENNEL a DAIRY <br /> ❑ HAZARDOUS WASTE G6 ERATOR ❑ CHICKEN RANCH ❑ PKO TREATMENT PLANT <br /> O IERED PERMITTED FACI ITY MOTELMOTEL ❑ PUMPER TRUCK/YARDICHEAI TOILETS <br /> Q TA7T00/BODY PIlIRCIN ❑ POOIJSPA d LAND USE APPLICATION srTES <br /> d MrDICAL WASTE FACIL ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to tan ddresses In the space above. Select the type(s) of files from the list above by checking <br /> the appropria a box(es). At least one file type MUST be selected. Eax to (209)464.0138 or mall to the <br /> address indic ted above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmod <br /> approximately five business days but no later than ten(10) days after receipt of application. The files <br /> will be held 6r a maximum of five buslnese days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is a�.Uvely being worked on by EHD staff may not be immediately available for review. A new <br /> application m y be submitted when the fila is available. <br /> 4. Any file not r turned In the same condition as released will be reorganized by EHD staff at the expense <br /> of the applica t. Future file reviews by the same applicant may require a$89.00 deposit prior to review. <br /> 3. *TENTATIVE ilippointment date's must be confirmed with EHD staff. <br /> 6. Applications tecelved after 3:00 pm will be processed the next business day. <br /> CONFIRMEE) APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED S NO REVIEW DATE <br />