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--• EItU IOG NVMUEI! <br /> J UIN COUNTYPUBLIC HEALTH VICES ng c <br /> E VIRONMIENTAL HEALTH DIVISION <br /> ~ 304 EAST WEBER AVENUE,THIRD FLOOR ' <br /> DEC 1 2002 STOCKTON CA 952020 <br /> ENVIR0j,ti,,,j t., (209)468-3420 <br /> UBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT !c1G�l'1�/�li� Y2vyf(i�{G BUSINESSIAGENCv <br /> ADDRESS ,r�7�G✓• �lq i� U %��2,� r�! r c&4±i�ZQY7G�(�s�`�- <br /> PHONE��2l' l 2 d 'YG`fi 4 EACSfMILE <br /> TENTATIVE"APPOINTMENT DATE TIME <br /> (Please give T to 10 business days from data of application submittal) <br /> ®CHECK BOX TO EXPEDITE REQUEST-$09.00 FE REQUES7PCESSED6 IN 9 S ESS GAYSvn 30q <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> D r— <br /> DEC 18 20�2 <br /> t � p•?' O <br /> / ENVIRONMENTAL HEALTH DIVISION FILES <br /> Ri UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> ❑ OTHER CLEANUP SITE(NON-.LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑. TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM YOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ® MEDICAL WASTE FACILITY , ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to'ton addresses in the space above. Select the typo(s) of files from the list above by chocking <br /> the appropriate box(es). At least one filo type MUST be selected. Fax to (209) 464-0138 or mail to the <br /> r 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 ton (10) days after receipt of application. The fifes <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that jss actively being worked'on by EHD staff may not be immediately available for review. A now <br /> application may be submitted when tho file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expanse <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 END staff. <br /> . 6. Applications received after 3.00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED _ PHONE FAX INITIALS <br /> i <br /> REVIEWED YES NO REVIEW DATE '" <br />