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\ 07/03/2002 MON 12:50 FAX 916 5654356 , R 001/001 <br /> \ Ul/acs/Ll7GL an:III ti abENVIRONMENTALWTH PAGE 01 <br /> ; <br /> VVV JOAQUIN COUNTYPU13LIC HEALTH SERVICES " OTtoo 14UMOVra <br /> ENVIRONMENTAL HEALTH DIVISION <br /> r 304 EAST WEBER AVENUE,THIRD FLOOR I <br /> STOCKTON CA 95202 *9// <br /> (209)463-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION ' <br /> APPLICANT_& r� <br /> 75ia�13USWEssIAGl:NCY��via..�l �`.�J://�D�.c.li?' �sari <br /> AdbRESS <br /> PRONE <br /> I`ACSIMILE <br /> ':'-TENTATIVE*APPOINTMCNT DATE <br /> 0 (Please give 7 t 1 — TIME <br /> I <br /> a d apWt submittal) <br /> Af <br /> CMLM <br /> HICK BOX Tp EXPEDITE REQUEST- ,00 F — EQU ST OCES 1 ] t <br /> `' NESS DAYS <br /> S1GNN,�URE OF APPLICANT -' DATE dL <br /> G <br /> FILE ADDRESS THIS SIDE EHt)STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> y <br /> VIA11 ILI <br /> I IL <br /> ze <br /> V <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> of UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ® i44Us1NG ABATEMENT d SOLID WASTE FActt.riY <br /> 13 UNDER CLEANUP SITE(NON•LOP) O FOOD FACiLRY 13 SOLID WASTE VEHICLE <br /> ® UNKEt;EiGROUOUND TANK(M4NITORiNG/E2E1yAVA)) to DOG KENNET. ❑ DAIRY <br /> 42 HAzARDOU3 WASTE GENERATOR d CHICKEN RANCH ❑ PKG TREATMENT PLANT ' <br /> d TIIEMO PERMITTED FACiurrY O MOTEL/14OTEL ' L7 PUMPER TRUCKMARDICHEM TOILET$ <br /> ❑ OAS FE:IRCIN(3 <br /> C3 MEDICAL <br /> WA [] POOLISPA Q LAND USE APPLICATION SrrES <br /> MBbICAL STE FAc�Lrrr O PUBLIC WAXER SYSTEM 0 OTHER(PLEASE SPE=CIFY ABOVE) <br /> 1. List Up to tett addresses in the space above. Select tho types)of files from the list above by checking <br /> the appropriate box(es). At least oho rile type MUST be selected. Fax to 2D9 464-0138 or mail to the <br /> address indicated above <br /> z- EHD will notify the applicant if an EHD flies exist. An a <br /> y ppointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The tiles <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 tho file(S available. <br /> 4. Any fie not returned In the same Condition AS released will be reorganized by EHD 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 trust be Confirmed with EHD staff. <br /> .6. Applications received after 3:00 pm will.be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. 'GIME <br /> DATE CONF=IRMED PHONE FAX •INITIALS <br /> RL1f1E'WI;D YES NQ REvlmv <br /> •n ni-nne-" <br /> Past-ie Fax Note 7671 <br /> To From <br /> D 1 f <br /> PhoneIE Ft10nv R� G Si_ Zo <br /> /, / "i/�f KI I yf <br />