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02/26/2003 16:44 FAX 209 863 31"' SILGAN CONTAINER 000202/26/2003 15:25 4640138 ENVIRONMENTAL HE PAGE 02 <br /> c ;,SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES o <br /> ENVIRONMENTAL HEALTH DIVISION <br /> v 304 EAST WEBER,AVENUE,THIRD PI-001k � <br /> FEB �z, 6 2003 , STOCKTON CA 95202 <br /> (209)468-3420 <br /> D i :.!'r"+�-( PUBLIC RECORDS RELEASF-APPLICATION9 <br /> APPLICANT "- '' �'!! BUS'INE=AGENCY �� ice''^ `�`" C• �S ........ <br /> A�a <br /> RES <br /> s /8a - <br /> PHONB r' ��3— S 116 FAaS1MILE A <br /> TENTATIVE"APPOINTMENT DATE �` 3`a 3 _ TIME __fU :do /a , <br /> (Please give T to 10 buslnoss days from date of application submittal) • <br /> CHECK BOX TO EXPEDITE REQUEST-;04.00 — Q EST PROCESSED IN 3 BUSINESS GAYS <br /> 142M <br /> *SIGNATURE OF APPLICANT DATE <br /> E <br /> a <br /> FILL ADDRESS TWS S15E Et4D STAFF C L3 <br /> PROGRAM ELEMENTS SEARCH <br /> tci iL eo- 83 h <br /> c 9s 2yo <br /> ENVIRONMENTAL.HEALTH DIVISION FILES , <br /> $1 UNOERGRO&D TANK(UST)CLEANUP SITE(Lop) C] HOUSING A13ATEMENT O SOUR W&STE FACILITY <br /> OTHER CLEANUP SITE(NON-WA) ® FOOD FACILITY D soul)W16`ITE VEHICLE <br /> 10 <br /> JM UNDERGROUND LANK(MONITORINGIREMOVAlL) d Doti KENNEL D DAIRY <br /> O CHICKEN RANCH D PILO'ni1E,+1TAtiEKr PLANT <br /> ® HAZARDOUS WASTE:OENERATOR 13 CHICKEN RANTrEL ® PUMPER TRUGKIYARDICHEM�'13WS <br /> C1 TIERE=D PERM TTED FACILITY d pppusPA t3 LAND Usr APPLICATION SITIE$ <br /> 13 TATTQ0113ODY PEIRCING C3 OTHER(PLEASE SPECIFY A 0vr%1 <br /> ® MEDICAL WAST9 FACILITY o <br /> 4. List up to ton Addresses 1n the space above. Select the type(s)of Isles from the list above by chocking <br /> ilia appropriatti box(es). At least ono filo type MUST be selected. Fax to 1209) 464-0138 Or mail to the <br /> �- address indicted abioye. <br /> 2. EHD will notify the applicant if any EHD.files exist. An appointment for review will be confirnleti <br /> approximately five business days but no later than tom(10)days aft,recofol Of ajdpba satchedThdfiles <br /> will be held for a maximum of five business days for review. Appo l <br /> accordingly. <br /> 3. A file that,ls,aCtivaly being worked on by EHD staff may not be Immediately available for rov)aw. A new, <br /> application may be submitted when the fila is available. <br /> 4. Any Ilia not rettirnad itt the same condition as released will be reorganized by EHD staff at the exp®nsn <br /> of the applicant. Future filo reviews by the same applicant may require a$39.00 deposit prior r <br /> MN <br /> 5. 'TENTATIVE appointment dates trust be confirmed with EHD staff.. <br /> .6. Applications rocolved after 3:00 pm will be processed the next business day. <br /> CONFIRMS® APPOINTMENT DATE. TIME ' <br /> DATE CQNFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE--' �..�Q � '"'O <br />