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Feb 06 04 03: 55p r upational knowledge p. 2 <br /> -C)),E <br /> ED <br /> SAN JOAQUIN COUNT' FsU8LIC HEALTH SERVICES <br /> FEB 0 6 2004 IEMIRONMEWAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> ENVIRONMENT HEALTH STOCKTON CA 9.920. <br /> PEWAIT/SERVICES (209)468.3420 <br /> PUB C RECORDS RELEASE APPLICATION _ <br /> /APrLICANT.—LC('P '0' f�'li�'— — (r>, <br /> DUSINESSrAGENCY U�(.c. � Q rl <br /> Kd <br /> noortess��; 1t 7 G1'hCI( 0 ..._ i <br /> � V _rn�ulMlLc_ Y1S - 'J 6� '�. / r(c_1 0 <br /> TENTATIVE'APPOINTM[Nt DATE TIME <br /> (Pfoaw ul.o 7 l0 10 bu27ne,a Jaye rye. 011,of�Pr1leallen.tub—IUM) <br /> CHECK 004'0 ExNtiUITE RCQVCST•$09.00 FCC-REQVESTPROCESSED IN J BUSINESS OATS • <br /> --'r SIGNATURE OF APPLICANT _ DATE Oak <br /> rllE A00ACSS TRIS SIDE EMUSIAFF usr ONLY <br /> PROGRAM ELGMENTS SEARCH `l <br /> %� rpt _ _ _ J �-1 <br /> ENVIRONMENTAL HEALTH DIVISION FILE$ <br /> �ND1RGnOUND TANK JUST)CLEANUV SITE(LOP) a HOUSING ADAT[ME►ir O SOLID WASTE FACILITr <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITT 0 SOLID WASTE VCHICLE <br /> $Y OC9GROVNU LANK(MONITORINQ/REMOVAL.) ❑ DOG KENNEL 0 DAIRY <br /> •-t IIALAREIOUS WASTE GEN[nATOn tO CHICKEN RANCII 0 PKo TREATMENT PLANT <br /> U TiCnCo PERMITTED FACILITY 0 MOTEUHOTpt. 0 PUMV4R TRUCK/YAnDICHCM TOILETS <br /> ❑ rnr roorDODY PCIRCiNO ❑ POOVSPA O LAND USE APPLICATION SITE <br /> `❑ MGOICALwAFYcrACILIYY I ❑ 01IICR(PLEASE SPCCIrYADOVC) <br /> I List up to ton addresses In the space obovo. Solact the lypo(s) of files from the list above by chocking <br /> the appropriate box(os). Al least one filo type MUST be sclocted. Fax to (7.09) 464.0130_or.m,�)I to the <br /> lanre51 fndiculco ?hove. <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approx,matety five business days but no later than ton (10) days after receipt of application. Tho file: <br /> will be held for a moxlmum of live bus1nvs5 tlayb fur review. Appo)ntmCnis should be schgdulod <br /> aceordingly. <br /> J. A file that Is "clivoiy l)CIrIV worked on by EHD slat(may not be Immediately availlble for review. A now <br /> appli"Clon may lie submitted whon the 1110 is avollably. <br /> t. Any file not returned in Itte same eondilloll as relowsed will be reorganized by EHD staff at the expanse <br /> of 010 appticatll. Future file reviews by tho same applicant may require a 109.00 deposit prior to review. <br /> 5. <br /> *TENTATIVE appolnlment dales must be confirmed with EHD staff. <br /> G. Apnlico6ons rce olved after 3:00 pm will by praar,sllcd the next busincs{ day. <br /> CONFIRMED APPOINTMENT DATE TIME ' <br /> GATE CONFIRMED PHONE: FAX INITIALS <br /> I <br /> fiCVtCWCO YES NO REVIEW DATE <br />