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O <br />J <br />v <br />FROM : Geo -Phase Environmental Inc FAX NO. : 2095690295 16 2003 02:48PM P2 <br />''84NJOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />ENVIRONMENTAL~ HEALTH DIVISION <br />iMAY 2 304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 12q7 <br />(209) 468-3420 <br />:PU�LlC RECORDS RELEASE APPLICA., !ON <br />APPLICANT adUSINSSIAGENCYy? _ <br />ADDRESS . 3Z �/••t��pi�LffQ�f Ale %�7®�PS7V --- <br />PHONE FACsiMILE _� <br />TENTATIVE" APPOINTMENT DATL- 61a ,2 TIME <br />(Please vivo 7 to 10 businass days front dale of application subntitU 0 <br />CHECK BOX TO,RXPEDITE REQUSS7 `$07.00 FEE - REQukST ?fi{JCESSED IN s 1SU51NtcSS DAPS <br />SIGNATURE OF APPLI <br />DATE: 4* z'.1 <br />2LIMIA6161 <br />• <br />WA WW" A y <br />1 <br />nn�►�n� <br />111 Mile <br />'TC'ti <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />UNDPRGROUND TANK (UST) CLEANUP SITZ' (LOP) O HOUSING ABATEMENT Cl SOL.�D WA5"E FACILITY <br />O OTHER CLEANUP SITE (NON -LOP) 13 FOOD FACILITY 0 SOLID WASE VEHICLE <br />UNDERGROUND TANK (MONLTORINGIREMOVAL) O DOG KENNEL 0 DAIRY <br />HAZARDOUS WASJE GENERATOR d CHICKEN RANCK Cr PKG TREATMENT PLANT <br />0 TILRED PERMiTT6� FACILITY ❑ M0TEIJi-:OTEL 0 PUII-Pi:R TII IICKl'fARDICHEM TOILETS <br />O TATTOOIBODY PiIRCING C1 POOL/SFA"" C1 LAUD 'J51w I,.PPlICATION SITr$ <br />13 MEDICAL WASTI-`_ FACILITY Q PUBLIC WATER SYSXEM 0 OTHER (PLE ASC SPECIFY AS-Z)VE) <br />92 <br />IV <br />0 <br />1. List up to ten addresses in the space above. S)elect the typc(s) of files from the: list above by chocking, <br />the appropriate box(es). At (cast one file type MUST be selected. Fax to.. 20'-64-01:38 or mail to the <br />address 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. Appointment:; should be sch dul <br />accordingly. <br />3. A file that is actively being worked on by EHD staff may.not be immediately availab r ' <br />application may be submitted when the filo is available. <br />4. Any file not returned in tha same condition as released will be reorganizud by EHD staff at the• expense <br />of the applicant. Future file reviews by the same applicant may require a ;87.0z deposit prior to review, <br />5• "TENTATIVE appointment dates must be confirmed with EMD staff. <br />6. Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE �� TIME <br />! DATE CONFIRMED <br />L REVIEWED YES <br />PhONE FAX 1NITIS.LS <br />NO REVIEW nATP <br />