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FROM NOA Environmental <br /> uKle Re`arvtu PHONE NO. : 209 369 4228 Dec. 23 2002 12.24PM P3 <br /> SAN J AQUIN COUNTYPUBLICHEALTH SERVICES 6H OQNUMVER <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> 1 <br /> DEC 2 3 2002 STOCKTON CA 95202 <br /> (209)468-3420 <br /> .;PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 1'%L ' BUSINESS/AGENCY (�r�.,,.:.� <br /> ADDRESS ZZ AC t-tOyS�Ava / � : G 195Z yG _ <br /> PHONE si '"a?-'3 70 FACSIMILE <br /> TENTATIVE"APPOINTMENT DATE fj�3 <br /> -- —9 TIME <br /> (Please give 7 to 10 buslness days from date of application submittal) <br /> • <br /> CHECK BOX TO EXPEDITE REQUEST-SS89.00- EE-REQUEST P OCESSED IN 3 BUSINESS DAYS Uhl 000'0 <br /> SIGNATURE OF APPLICANT DATE <br /> FILE AbDRESs THIS SIDE EHD STAFF US8 ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> I v8V tC I' rel{.. 4+6d� CA %V%I v Ni S <br /> -7 914 <br /> car o <br /> 0 W q4ar 1 V IV <br /> Cl 07t <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 110 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT Q SOLID WASTE FACILITY <br /> Er OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> Sr UNDERGROUND TANK(MONITORING/REMOVAL) O DOG KENNEL ❑ DAIRY <br /> CW HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH D PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUCWYARD/CHEM TOILETS ` <br /> 0 TATTOOIBODY PEIRCING 0 POOL/SPA13 LAND USE APPUCA-nON SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ;R OTHER(PLEASE SPECIFY ABOVE) <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(209).464-0138 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. 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 same condition as released will be reorganized by END 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. "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. <br /> TIME <br /> DATE CONFIRMED -PHONE FAX INITIALS <br /> REVIEWED YES NO •REVIEW DATE <br /> •R.qfiMl <br />