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B-09-2002 9:54AM FROM 06ITE ENVIRONMENTAL 209472865J <br /> P_ 1 <br /> V I!t.U1 ltddl U3:zb 4b4bj3, ENVIR iTAL R @2 <br /> DATE RWJMFAD <br /> \114SAN JOAQUIN•COUNTYPUBUC HEALTH SERVic <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR ' AUG ® 9 2002 <br /> J STOCKrON CA 95202 . <br /> (M)408,1120 VIRONMENT HEALTH <br /> PUBLIC RECORDS RELEASE APPLICATK) <br /> EE 4IT/qFRVICES <br /> APPLICANT f2EUStWESSIAGENCY <br /> ADDRESS Cos 3 Q S Z <br /> .FACSIMILE �7 Slob <br /> TENTATIVE''ApporwrwNT GATE TMIZ . <br /> EPre�5e IV, 7 to 10 mess daps from of apps t1on subntittsq <br /> p AU <br /> u CH>:CI(80X TO EXpEOITF REQUEST. A MUF�Mgz IN US(Nt"55 DAYS <br /> SiGtvATURE OF APPLICANT* DATE. <br /> FiLr~ADDRESS THIS SIDE&W STAPP USE ONLY <br /> PROOKAM 611 EIY►ENTS SEARCH <br /> �{- AraCja k.000 <br /> J v ! , leMOM AM <br /> ENY.IRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(V$T)CLEANUP 31iE(LOP) ®,HEND <br /> OUSOW ASATEMT SOLID WASTE FACiLITY <br /> OTHER CL"MUP Sm(NON-LOP) Q FOOD FACILITY D SOLiD WAM VEHIGUE <br /> UNDERGROUND TANK(MON)TORrry$tREMOVAL) o DOG KENNEL 0 DAIRY <br /> VI�}iAZARDOV$WASTE GEMr:RATOR Q CHiCkEN RANCH O PKG TREATmaNf PLANT <br /> 13 TIETtED PERMrtTED FACiL3T'f O MOTELMOTEL n PubtptR TRt)cr4yPAEiDiemm YO4XTS <br /> C3 TATTOOISODY PEACM0 M POOUSPA b HAM USE APPLICAMON SITES <br /> 0 MEDICAL.WASTE FACILITY 17 PUSLIC WATER M- TEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> I 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(2091464-0138 or mail to the <br /> address indicated aEiave. <br /> 2. F.HD will notify the applicant if any EHD tiles exist. An appointment for review will be confirmed <br /> approximately five boldness 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 titer that is actively being worked on by EHD staff may not be immediately available for review. A neer <br /> application may be submitted when the frlip is available. <br /> 4, Any file not returned in the same condition as released will be reorganized by EMD 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. IT•ENTAWE appointrnent dates must be confirmed with EHD staff. <br /> 6. Applications received after 31.00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATIZ.`- TiME <br /> :ATE CONFIRM15ED PHONE FAX INITIALS <br /> 3REVVLE WED YES _a NO REVIEW DATE <br /> o�u <br /> s <br />