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a <br /> 08/28/2002 16:53 20079-2225 MODESTO ATC• PAGE 01 <br /> SAN JOS Q EHEALTH RVIC � <br /> ENVIRONMENTAL vSIORASETHIDO <br /> STOCKTON CA 95202 <br /> (209) 468-3420 AUG 2 9 2002 <br /> (� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT_ bJ'tu'f O Jt A� ew kL E <br /> BUSINESSIgGENLY _pEgmlT/SERVICES <br /> ADDRESStI1 Lpw� '?c.�wl ,�1v-�-�nre , Sa;k SS M gc�4i� 0� 7s3T-i <br /> PHONG72 <br /> _FACSIMILE ZQ9 'S=A �- 2 5- . <br /> y <br /> TENTATIVE'APPOINTMENT DATE p` I tQ\ 2 TIME f�� <br /> (PlcasO Viva 710 10 business days from j9ple of Application submittal) <br /> CHECK UOX TO,EXPEDITE REQUEST-$07.00 FEA I =S'T'P IRSED IN 7 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE `B(7 -6 10-L <br /> FILEADDRESS THIS SIDE EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> I f � \AQvJ f2g401 S�OCt<�-Ch <br /> ll� t1 Q1+.1 $ �4 D✓1 <br /> L8 1 5. U. llw o� <br /> 2 3 S. Sk410 Pf k-%A 42tVtIA6mAke, I rvin= <br /> 9 t4 Q W, W 0,\V-4 vtfez ul I f} 41 J <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> �y KDrRGROUND.TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> JW OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTC VEHICLE <br /> ❑ UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR O CHICKEN RANCH O PKG TREATMENT PLANT <br /> ❑ TIERED PERMITr OFACILITY 13MOTELIHt'1TEL O PUMPER TRCKI <br /> UYARDICHEM TOILETS <br /> ❑ TATTOOIBODY P19IRCING ❑ POOLISPA O LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTL FAC14ITY ❑ 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 chocking <br /> the appropriate box(os). At least one file type MUST be selected. Fax to (2091464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EMD 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 now <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. Futuro file reviews by the same applicant may require a $87.00 deposit prior to review. <br /> 5. "TENTATIVE appointment datos 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 /> EH tt NO , <br />