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I0-1-05/2002 10:59 FAX lih.002/002 <br /> DATE!1j CEIVED EHD LOG NUMBER <br /> SAN JOA IN COUNTYPUBL.IC HEALTH SET..- .S <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WESER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95292 <br /> (209)468-3420 911Z <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> BUSINESS/AGENCY /•C/a'•,rr e/s/-er r_ r;_. __. D <br /> APPLICANT ' <br /> ADDRESS <br /> PHONE, /.3�5 FACSIMILE, 0�- - / SEP 0.-a-UO2 <br /> TENTATIVE*APPOINTMENT DATE_ �/ - 'IIM>= t NVIR ;4WNT HEALTH <br /> (Please 9 e 7 to 10 husi fr to of app 'on submi A AV IT ERVICES <br /> ArAr <br /> Aloft <br /> UW <br /> ® CHECK BOX TO EXPEDITE REQUEST- —REQU TPR D IN BUSINESS DA L <br /> SIGNATURE OF APPLICANT ? - <br /> DATE — <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> (.At'hCM' 4� p1+oP..i,c �-7"e n Go..ndited .4�'-.✓4' - <br /> AP✓V A ;,A1to --2-1 "bawe Ravi-A& Ml�,fetw rAnk CA- <br /> ' /399 <br /> � <br /> goo Yoee-.,: A-r--s CA <br /> NN Arco -4 4 17/ osr—;Is vie -e Iv <br /> Aff <br /> ENVIRONMENTAL HEALTH DIVISION FILES p. SEP 12 2002 <br /> /CI NDMGROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT Ci SOLID WASTE FACILITY <br /> ,�THER CLEANUP SITE(NON-LOP) ❑ FOOD FACILRY ❑ SOLID WASTE VEHICLE <br /> PlDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ® DAIRY <br /> QUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ® PUMPERTRUCKIYARDICHEMTOILETS <br /> ® TIERED PERMITTED FAClLrfY ❑ MOTELIHOTEL ®'LAND USE APPLICATION SITES <br /> ❑ TATTO01BODY PEIRCING ❑ POOUSpA ® QR7�ER(PLEASE SPECIFI(ABOVE] <br /> ❑ MEDICAL WASTE FACILITY n- PUBLICWATER 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(2991464-0138 or ail to he <br /> addr ss Indicated above. <br /> 2. EHD 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 reorganized'by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$67.00 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 /> REVIEMP YES NO REVIEW DATE <br /> 84-6014 66107/00 <br />