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FROM : Geo-Phase Environmental Inc. FAX NO. : 2095690295 Dec. 24 2002 12:03PM P21Ps� <br /> �� (� �' '/�'7 19AN JOAQUIN COUNTYPUBLIC HEALTH SERVICES ' <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> DEC 2 4 2002 STOCKTON CA 05202 <br /> (2019) 468-3420 <br /> ri'�'� ';l '° t 1L1pUBLiC RECORDS RELEASE APPLICATION ff <br /> APPLICANT 5l, �e �dh _ r"r BUSINEES..SS//AGC/NCY 6�0,4144se <br /> ADDRESS szg.3 7 1�C'1/��'r fJ+f .L�GI .-,-•�—fi-+'-,/�KJ�'s� p _.. .-._ <br /> PHONE •0P,9� 2 ,�/I <br /> TENTATIVE'APPOINTMENT yb'�9I d4T, TIME � �� 7' I <br /> (PlcasT DA 7 to 70 busines m days frodata of application submithl) ' / <br /> Pte-'• CHECK BOT TO,EXPC0ITE REQUEST-$07.00 FEE-REQUEST PROCESSED IN J 13VSIN555 DAYS <br /> SIGNATURE OF ALPPLICAN'f DATE !/f' L <br /> / <br /> FILE ADDRESS THIS SIDE EHD STAFF US LILY <br /> PROGRAM ELEMENTS S&{ a <br /> � 7' $, S ew / r • G/COM�i1 — <br /> f 2 4/ 62r sr¢ S G "P r 0/ <br /> V / 30 Al. /ll or --SJG <br /> �I IAJ�W ale r Admen — La✓/ , rsra� o <br /> { <br /> 1 <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ZNDCRGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY O SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIRCMOVAL) 0 DOG KENNEL 0 DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> 0 TIERED PERMITTrb FACILITY O MOTEUHO7EL O PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PHIRCING 0 POOUSPA - 0 LAND USE APPUCATION SITES <br /> 0 MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM 0 OTHER(PLCASE SPECIFY ABOVE) <br /> 1. List up to ton 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. END 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 END 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$87.00 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 /> �i CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> I a <br /> REVIEWED YES NO REVIEW nATF <br />