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I KUNMGN I HL H H PAGE 01 <br /> SAN JOAQUIN COUNTYPU13LIC HEALTH SERVICES <br /> LDIVISION i1IRG` <br /> JA N 0 e, 2003 EST WBENVIRONMENTALTHRR w <br /> . E <br /> STOCKTON CA 95202 FFM!T <br /> SERVICE <br /> F)� ;_TF1 (209)469-3420 <br /> PUBLIC RECORDS RELEASE APPLICATIWAN -8 48 8: 57 <br /> APPLICANT -��:\�`,l.�I;���"1`�t.)y/n'� V1� ABUSINEMAGFNCY_ df.(.�.1•'f'V i_ <br /> ADDRESS / 1M) _L (Tn RA \I !T�-e � po�I rip �y <br /> PHONC 9 S: r?J 1- 0172 —1 FAds)miiE� LLQ S/- 7 7 <br /> TE:NTAT]V •APPOINTMENT DATE TIMC D2,AI A j <br /> ' (PIne30 Olee T le to�usl„ess di"frvm del*e"y1AKn1c..subminm) . Y <br /> CHECK BOX TO EXPEDITE REQUEST•589.00 FEE-REQUEST P (C71'.ES.SE SIHESS DAYS <br /> -SIGNATURE OF APPLICANT �' DATE d •' <br /> F,LF AUDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> V rem o a <br /> �l � - <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE ILOPI 0 HOUSING ABATEMENT 0 SOLIO WASTE FACILITY <br /> OTHER GLL-ANUP Silt(NOWLOP) XFOOD FACILITY O SOLID WASTE VEMCLL <br /> �C UNDERGROUND TANK tMONITORINGIRSMOVAL) Cl 000 KENNEL O DAIRY <br /> O HAZARbOUS WASTE GENERATOR O CHICKEN RANCH O PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTELMOTEL 0 PUMPER TRVEArYARDICHEM YOILEYS <br /> o TATTOoluOOVPEIRCING 0 POOLISPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ton addresses In the space above. Select the typo(s) of filen(Font Ulu list above by Chocking <br /> the appropriate box(es). At least one filo type MUST ba selected. Fax to f209)464-0130 or mill to the <br /> address indicated above. . <br /> 2. END will notify the applicant If any END files exist. An appointment(Or review will be confirmed <br /> approximately five bUSIr eSS days but no later 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 lhat.ls aclively bbl..O worknd on by EMD staff may not be Immediately available for review. A now <br /> applic-1110n may be submitted when the file Is available. <br /> 4. Any file not ralurnod in the sama condition as released will be reorganized by END staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a S09.Oo deposit prior ID review, <br /> 5. "TENTATIVE appointment dales must be confirmed with END Staff— <br /> G.G. Applications received after 3:oo pm will be processed the next business day. <br /> Post-tl'Fax Note 7671 Oak I-3•a <br /> CONFIRMI D APPOINTMENT DATE, To Fie,., I� <br /> en.Al.PI PA. <br /> DATE CONPIRMCO PHOI Pn,m vnomr <br /> REVIEWED YES NO Fan -17Q� Faa11iJ,,yf'•' bt1- ol;$ <br /> z •d 26LITS6646 0Sd eSSt80 ED 80 Uer <br />