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07 / 11 / 2003 13 : 47 209467117 AGE STOCKTON PAGE 01 / 01 <br /> DATE RECEIVED I ', ', - EMO L001 <br /> / � ` ' SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE, THIRD FLOOR v <br /> STOCKTON CA 95202 <br /> (209) 468-3420 � �}•'�, <br /> PUBLIC RECORDS RELEASE APPLICATION j� <br /> APPLICANT h BUSINES$IAGENCY . UCLA .!? &PI R llYnnM nLLW_ <br /> ADDRESS ? 39 5A u Q �(� cle�% 00 l:J'T <br /> PHONE oZOR ' � �� l ` IWtp FACSIIM,ILE 0 Oq - u n - t y1 <br /> TENTATIVE" APPOINTMENT DATE u JU �1 �� TIME 6D <br /> (Please Siva 7 to 10 bminand day& from data of application submittal) <br /> CHECK BOX TO EXPEDITE RE $89.00 FEE — REQ EST PROCESSED IN 3 BUSINESS DAYS �� <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> nc�om`'LJ q t e eDo and D <br /> 1 P <br /> .. Ole ,Watolpti <br /> m ]�L aL SP <br /> qrs <br /> n a <br /> u) e <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK (USTI CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ 501.I0 WASTE FACILITY <br /> OTHER CLEANUP SITE (NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK (MONITORING/REMOVAL) ❑ DOG KENNEL Cl DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOO/BODY PEIRCING ❑ POOL/SPA ❑ LAND USE APPLICATION $ITE$ <br /> ❑ MEDICAL WASTE FACILITY C 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 file type MUST be selected. Fax to (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 file 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 same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $ 89.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6 . Applications received after 3 :00 pm will be processed the next business day. <br /> L <br /> NFIRMED APPOINTMENT DATE TIME <br /> E CONFIRMED PHONE FAX INITIALS <br /> EWED YES NO REVIEW DATE <br /> Elia 4en2-094 <br /> ]1261200] <br />