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1 <br /> 93/377/2001 17:21 205--579 X25 <br /> 7wtODESTO ATC WAGE 01 <br /> . . __. ... .._... _ . �.w TO 5'752225 F,02 <br /> 0:3-01-2000 39:450M FRIx", . . ►vim... acn <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WE13ER AVENUE,THIRD FLOOR 7y L J <br /> STOCKTON CA 85202 <br /> (209) 488.9420 <br /> _ PUBLIC RECORDS RELEASE <br /> 'AAAPPLICATIO IN _ <br /> APPLICANT <br /> W�^ BUsft53.rAGPNCY <br /> nn � <br /> ADDRESS l�1 �� A:' Jwl �-./ , }_ (3 <br /> PHONE ZQ9 S +ft- 22.Z i� � FACVIIVIR.E Z�9 S�°1� 22215 <br /> !if rU l TIME ll4Q� <br /> TENI"ATIV'E'APPOINTMENT DATL -._.. <br /> (Pf>•ast give T to 10 businC73 day&from d&lO of appIlcatic+n submlriml) <br /> - CHECK BOX TO EXPEDITE REQUEST•578.00 F P.REQUEST PROCESSED 1N 3 BUSINESS DAYS <br /> �� ,, ��,, ,µSnL�� DATE <br /> 3IGNATURE OF APPLICANT ��b--�` ," - -�- - - - <br /> VILE ADDRESS <br /> A_ i,� ( its 5 ,,.1 a S c>L Ao <br /> F2! �1a.,r �S <br /> f <br /> 1(. S�nn,rl S a-_t. _ 3 S �- t-l� <br /> goS ,3 1 <br /> f X235 C a.��e S __ �U- �► ��. -5 <br /> ENVIRONMENTAL HEALTH DIVISION FILES I t <br /> 3� UNDEROftDUND TANK(UST)CLEANUP FAIT I-('CP) G HQUSING ABATEMENT Q SOLID WASTE FACILITY Iv� <br /> OYIIFR CLEANUP$iTF(MON-LOP) O fOOO FACILITY 0 SOLID WASTE VEHICLE � �I <br /> X UNDERGROUND TANK jMONITORINGIMEMOVAL) O DOG KENNEL O DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH t3 PKG TREATMENT PLANT <br /> 0 TIERED PERr+IrrTED FACILITY C3 MOTEL/MOTEL O PUMPER TRUCKIYARDICHEM TOILETS <br /> 0 TATT001$00Y PCiRCING 6 PppI/SPA d LAND USE APPLICATION SITES <br /> n MEDICAL WASTE FACILITY 0 PURL.IC WATER SYSTEM 0 OTHER(PLEA$E SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the typo(*) of tiles from the list above 13y Checking <br /> the appropriate box(as)_ At least.one 11141 type MUST be selected. Fax to-ftp 1 464-0438,E mtsil.t4_tl <br /> 2. EHD will notify the applicant if any Elia]files exist. An appointment for review will be Confirmed <br /> approximately five business days but no later than ten (10)days After receipt of appticatior%. Tht files <br /> will be held for a maximum of five bustnoss days for review. Appointments iihould be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediatttly available for review. A new <br /> application may t>e submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHO staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $78.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 8. Applications received after 3:00 pm will be processed the next business day. <br /> tr "— <br /> + CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONF FAX INITIALS <br /> (_REVIEWED YE=S NO W IEW DATE <br /> L'h 5E S�aaoa �•••-"--.-.--•t^n..+e�wrrr.++�_ <br /> TOTAL P.02 <br />