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07/11/2003 13:47 2094671118 AGE STOCKTON PAGE 01/01 <br /> 001116 <br /> DATE�RECMVEp etiO l00 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1 2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)465.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT-4, y� h �(�B,USI�NtEssraGENlcv (.Lat}CtYIuoa 0 8tlUlM?11Y1 11 _ <br /> ADDRESSR!^� ® c� <br /> PHONE___01t�Q ` '7{(J t` � �Q FACSIMILE oK 4 q � <br /> TENTATIVE*APPOINTMENT DATE I tldjo/4 TIME •�6/ <br /> (Please give 7 to 10 businead days from date of application submittal) <br /> tX CHECK BOX TO EXPEDITE REQU 189.00 FEE—REQ EST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE u <br /> FILE ADDRESS THIS SIDE EMD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH o <br /> r-ct .ego ora <br /> I LOs <br /> W <br /> \ aSip <br /> JSr 1.6 <br /> 11 17 <br /> n� <br /> ) - n J4T s VJ <br /> � u� r� <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGJREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELJHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOO/BODY PEIRCING ❑ POOL/SPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <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. END will notify the applicant if any EHD file$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 /> EHo 4ea2.0" <br /> 3/26/2003 <br />