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ENVIRONMENTAL HEALTH DIVISI eiu Sa <br /> oc numae <br /> w SAN J UIN COUNTYPUBLIC HEALTH gRVICES <br /> v 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON -3 95202 <br /> 1 209 466-3420 <br /> well< <br /> PUBLIC RECORDS RELEASE hLtt710 � <br /> �c2 <br /> APPLICANT-- %"ecr R.0 BUSINESS/AGENCY <br /> ADDRESS 4\ cl C-2 <br /> PHONE�2 "� l L I'7 C-(�I10 FACSIMILE �-� �I 3�S y CT 2 <br /> TENTATIVE"APPOINTMENT DATE '� rY TIME��,yI1 1 (/�l�[I�Q1�IF5UI�I�1[I�i t{EP,LI H <br /> ��LssLyy (P ase give 7 to 10 bus ess days from date of application submit al) <br /> CHE I SU$89Z <br /> I E P 1D IN J 11USINE DA J <br /> SIGNATURE OF APPLICANT DA E 2 G Cl')_ <br /> FILE ADDRESS - THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> . Sw 4n�u4 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> L&__U`NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> -0—OTHER CLEANUP SITE(NON-LOP) EI FOOD FACILITY EI SOLID WASTE VEHICLE <br /> Z2 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ,�FfAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY 13MOTELIHOTEL ❑ PUMPER TRUCK/YARDlCHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <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 /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />