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II <br /> 07/11/2003 13:47 2094671114 AGE STOCKTON PAGE 01101 <br /> DATE RELEJVEO EMD Loo <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> I i 2003 304 EAST WEBER AVENUE,THIRD FLOOR �^ <br /> STOCKTON CA 95202 <br /> • ? ILi h (209).468-3420 w� <br /> PUBLIC RECORDS RELEASE APPLICATION <br />! APPLICANT VZOILh A-) SUSINESVAGE.N�CY-'boanceA &501u)* <br /> 5 01u)*n�I��'LCLIJ/ <br /> ADDRESS ? LJ S` CK NO S 5}6 <br /> PHONE oa-I�4_-_- .�� 1` & FACSIMILE a j L [ Y <br /> TENTATIVE*APPOINTMENT HATE �� �il�u1 �D TIME •�L/ <br /> (Please give 7 to 10 but irk and days from data of application submittal) we <br /> CHECK BOX TO EXPEDITE REQU589.00 FEE-REQ EST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE C V <br /> FILE ADDRESS THIS SIDE EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 19 1 Cl ttl e_cct_ 4P1� D <br /> 0SUnt S <br /> W • CYN m <br /> 10F R <br /> ism <br /> r� <br /> �P314 06 <br /> ) n a <br /> Y14010- 0 <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 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> k ❑ TIERED PERMITTED FACILITY 0 MOTEUHOTEL EI PUMPER TRUCK/YARDICHEM TOILETS <br /> CI TATTOOIBODY PEIRCING • C7 POOLISPA 0.LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 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 20.9)464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHO 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. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the some condition as released will be reor anlzed b EHD staff at the <br /> 9 Y expense- <br /> of the applicant. Future file reviews by the same applicant may require a$89.D0 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD Staff. <br /> S. Applications received after 3:00 prn will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE <br /> FAK INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> END 4e-02-000 _ <br />, 312612007 �— - <br /> i <br />