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08APR.28.20043: 9:15AM64Fd1cpEX ENVIROTECH, INC. c'� 1Ru'tir"'ti'~` ' ,' "' NO.588 P.2' <br /> ��Lvrr xu:erv�D IWO 1 OG NuMnuR <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APR 2 3 2004 304 EAST WESER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209) 4683420 <br /> it. . . .;: ; :;_hu i1 PUBLIC RECORDS RELEASE APPLICATION <br /> —rye,{ <br /> APPLICANT .�2��1 � V�' r�`."' I BUStNVSSIAGENCY <br /> ADDRESS <br /> PHONE RICO S J 1 - O 1-7 ----FAGSIWIILE,r ISP '6S I- D l-11 <br /> ..i <br /> TENTATIVE*,APPOINTMENT DATE TWE <br /> (Pleas.give 7 to 10 business days from date or application submittal) <br /> q3.o� • <br /> CHECK 80X TO EXPEDITE REQU U#00 FEE--REQUEST PROCESSED IN 3 13USINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FIL5, ADDRESS THIS SIDE FHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> l� ✓ <br /> D Y(, <br /> 5 Ili r <br /> S 1 4 r <br /> 2 FT of <br /> a <br /> ENVIRON ENTAL HEALTH DIVISION FILES , <br /> 'O UNDERGROUND TANK(UST)CLEANUP SITE(LOP) CI HOUSING ABATEMENT ❑ SOWASTE FACILITY <br /> O OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY U SOL <br /> ID WASTE VEHICLE <br /> E3UNMERGROVND TANK(MON(TORING/REMOVAL) D ()OG KENNEL O DAIRY . <br /> .-HAZARDOUS WASTe GENERATOR 0 CHICKEN RANCH PKG TRENTMENr PLANT <br /> TOI.El <br /> t0 MOTFIJHOTEL 173 PUMPER TRUcWYARD1CHEM <br /> d TltEREa pERNTT7`ED,FACLIT7 O POOUSPA Q LAND USE AfPLIGATON SITES <br /> d T000Y PG <br /> p MECAL WASTE FACILITY + <br /> ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPCCIFY A80VE) <br /> DI <br /> 1. List up to ten addresses in the space above. Select the typo(s) of files frOm tho 11st above by check <br /> the appropriate box(es), At(east one fila type MUST be selected_ 1~ax to (209146441 or mail to tl <br /> address'ndic`ate d <br /> above. <br /> 2, EHD will notify the applicant if any EHD files exist. An appointment for review will be confirme <br /> Pon. The <br /> approximately five business days but no tater than ten(10) days after <br /> receipt <br /> should be chedu edrl, ' <br /> will be held for a maximum of five business days for review. App <br /> accordingly. <br /> 3. A filo that,is actively b' ing worked on by EHD staff may not be <br /> immediately available for review. w <br /> application may be submitted when the fila Is available. <br /> 4. Any file not retumed ill the same condition as released will be reorganized by EHD Staff at the exp' o <br /> of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to mr W. <br /> 5, 'TENTATIVE appointment dates must be conflrmed with EHD staff. <br /> 6. Applications rec¢ived after 3:00 m will be processed the next busines day, �� �` <br /> P p <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> PHONE FAX INITIALS <br /> DATE CONFIRMED <br /> REVIEWED YES NO REVIEW DATE , <br />