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4 <br />03104/2003 18:58 464013. <br />3 -1111 gr <br />•.i ��(� i� r','.'�IipAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES <br />/ ( ENVIRONMENTAL HEALTH DIVISION <br />" 304 EAST WEBER AVE:NUC-j THIRD FLOOR ' <br />MAR• Q 4 LOQ STOCKTON GA 95202 <br />(209) 468-5420 <br />� IPUBLIC RECORDS RELEASE APPLICAT10k <br />PAGE 01 <br />010 VW "Imun <br />FN <br />i142- <br />,appucarrfD�G o sUSIbMSVAGt;NCY Are-. <br />ADDREss 3boo MA- r:y Sart/ AVE, ,fit L/ r G7 Z LP!�/l h`/l�f� •�r�.<� Cif �/S� ' <br />a <br />Pi4oxe Cj&)3 -0;177 FACSIMILt: <br />TENTATIVE' APPOtNTMENibA"F'E r l�f I(f 7, �C30� TIME <br />(Pic"a Viva 7 to Sb buslr»SS daT,- from data oI application submittal) <br />-20 3P, <br />CMECK DOX To EXPEDrM REQ T - $W.00 FEE -REQUEST PROCESSW IN 3 BUSINESS DAYSuni+ a <br />K_m - a -, <br />,'SIGiVATURI QE= /APPLICANT DATE:- <br />.3 <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />W UNDERGROUND `i•ANK (UST) Ct gANuP $ITE (Lop) 1a MOUSING ABATEMENT C3 SOLID WAST). FACILITY <br />OTHER CLEANUP SITE (NON -LOP) fool) FACILITY O SOLO WAVVE VEHICLE <br />UNDERGROUND TANK (MomrmRLNGrREMOVAL) DOG KENNEL D DAIRY <br />9HAZARDOUS WASTE GMiRATOR G CHICKEN RANCH O PKG TRF=ATMI:NT PLANT <br />C! TlEIiED P8lRNIITiEL1 FAt;iL1TX b MOTELFHOTEL In PUMPERTR0-_KreARINCHEM1 tOILF7.3 . <br />El TAMOMWDY PCIRCING O P90USPA TLOANO USE APPLICATIW $TTf-,S <br />0 MMICAL WASTE FACILITY � Q OTHER (PLEA;IE SPECIFY ABOVE) <br />I List up to tan addresses In the space above. Select the type(s) of tilos from thic list above by checking <br />•the approprlatc box(es). At least one file type MUST be selected. Fax to (209)413,4-0 or mail to tht* <br />r address indicated above. <br />2 EHO wilt notify the applicant if any EHD files exist, An appointment for review %till be confirmed <br />approximately five business days but no tater than ton -(10j days after receipt of application. The files <br />will be held for a maxim4m of live business days for ravlow. Appointments should be scheduled <br />accordingly. <br />3. A file that .ts. asctiva(y boing worked on by EHD staff may not ba Immediately available for review, A naw <br />application may be submitted whan the file is available. <br />.4. Any rile not ceturnad in the same condition as released will bit morganized by EHD staff at the expense <br />of. the applicant. Future rile reviews by the same applicant may inquire o $89.00 deposit prior to review. <br />S. 'TENTATIVE appointment dates must*be conftYrnad with END staff.. . <br />, G. npplica0ons raceiveo atter 3:0o pre wilt be processed thcq next business day. RUSH <br />CONFIRM51) APROINTMENT O&E.. TIME: <br />DATE CONFIRMED . PHONE FAX INITIALS <br />RI:VIEYFED YES NO REVIEW DATE �' <br />PROGRAM <br />TM <br />MOM <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />W UNDERGROUND `i•ANK (UST) Ct gANuP $ITE (Lop) 1a MOUSING ABATEMENT C3 SOLID WAST). FACILITY <br />OTHER CLEANUP SITE (NON -LOP) fool) FACILITY O SOLO WAVVE VEHICLE <br />UNDERGROUND TANK (MomrmRLNGrREMOVAL) DOG KENNEL D DAIRY <br />9HAZARDOUS WASTE GMiRATOR G CHICKEN RANCH O PKG TRF=ATMI:NT PLANT <br />C! TlEIiED P8lRNIITiEL1 FAt;iL1TX b MOTELFHOTEL In PUMPERTR0-_KreARINCHEM1 tOILF7.3 . <br />El TAMOMWDY PCIRCING O P90USPA TLOANO USE APPLICATIW $TTf-,S <br />0 MMICAL WASTE FACILITY � Q OTHER (PLEA;IE SPECIFY ABOVE) <br />I List up to tan addresses In the space above. Select the type(s) of tilos from thic list above by checking <br />•the approprlatc box(es). At least one file type MUST be selected. Fax to (209)413,4-0 or mail to tht* <br />r address indicated above. <br />2 EHO wilt notify the applicant if any EHD files exist, An appointment for review %till be confirmed <br />approximately five business days but no tater than ton -(10j days after receipt of application. The files <br />will be held for a maxim4m of live business days for ravlow. Appointments should be scheduled <br />accordingly. <br />3. A file that .ts. asctiva(y boing worked on by EHD staff may not ba Immediately available for review, A naw <br />application may be submitted whan the file is available. <br />.4. Any rile not ceturnad in the same condition as released will bit morganized by EHD staff at the expense <br />of. the applicant. Future rile reviews by the same applicant may inquire o $89.00 deposit prior to review. <br />S. 'TENTATIVE appointment dates must*be conftYrnad with END staff.. . <br />, G. npplica0ons raceiveo atter 3:0o pre wilt be processed thcq next business day. RUSH <br />CONFIRM51) APROINTMENT O&E.. TIME: <br />DATE CONFIRMED . PHONE FAX INITIALS <br />RI:VIEYFED YES NO REVIEW DATE �' <br />