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a <br /> X5/2002 10:59 FAX 1@402/002 <br /> GATE R&EIVED EHO LOG NUMBER <br /> SAN JOA IN COWNTYPUBLIC HEALTH SER' ICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 911Z <br /> �?�= PUBLIC RECORDS RELEASE APPLICATION <br /> , �,- ..G�-- BUSINESS►AGENCY <br /> APPLICANT '._ <br /> ADDRESS <br /> :�-gD-s 467 <br /> PHONE — �-3`7 `-+ FACSIMILE <br /> TENTATIVE"APPOINTMENT DATE �/ _ TIMI: NVlR(;W"IENT HEALTH <br /> (Please glye 7 to 10 buss fro to of app 'on subad IT ERVICES <br /> ® CHECK BOX TO EXPEDITE REQUEST- —REQU T PR D IN eUSINBSS DA:i" <br /> SIGNATURE OF APPLICANT DATE -� — - <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> LM'her p� PRa.'�%tC �f-7✓�" n C�A•w-Pie!' AYe-,✓G - <br /> APN-4 'iL' ?.1— !q —Al CA- <br /> ' <br /> rare 4c � n vS�.n• ..e....r /"b-dcrw <br /> ~V U /700 a f e. : e A-r-e Mss.,-k-e C4 <br /> INN -4 O <br /> M 00 <br /> ENVIRONMENTAL,HEALTH DIVISION FILES SEP 12 2002 <br /> /d!NDERGROUND TANK(UST)CLEANUP SITE(LOP) E3HOUSING ABATEMENT CI SOLID WASTE FACILITY <br /> , <br /> ,�THER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ,��JNDEE2GRouND (MON(TORING/REMOVAL) 0 DOG KENNEL ❑ DAIRY <br /> ,�l HA2ARDouS wasTE GF�VERATOR 0 CHICKEN RANCH C3PKG'TREATMENT PLANT <br /> C3 PUMPER TRUCKMARDICHEM TOILETS <br /> ❑ TIERED PERMRTED FACILITY C3MOTELlHOTEL ❑'LAND USE APPLICATION SITES <br /> ❑ TATTOWBODY PEIRCING E3•POoLispd - C3 OTHER(PLEASE SPECIFY ABOVE) <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM <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 2 9 464-0138 or ail to the <br /> address Indicated above. <br /> 2. END will notify the applicant if any EHD 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. Anew <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganixed'by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$87.00 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 /> REHIEWEQ YES NO REVIEW DATE <br />