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08/08/03 FR1 15:15 FAX 916 366 7013 KLEINFELDER Booz <br /> i <br /> DATE RECEIVED <br /> SAN JOAQUIN COUNTY EHD LOO NUMBER <br /> AUG Q 8 LliG3 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �� W \ U �P�VI BUSINESWAGENCY <br /> ADDRESS ✓C/�� ��"/�� �1✓P <br /> PHONE_ (,fl(l ') ?P(0 - / 7( FACSIMILE ?t 1P J (1 ` <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> (Please give 7 to 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> _ <br /> SIGNATURE OF APPLICANT �' '�it'ifi(� .� rr:(➢GZ. DATE �0 2�' <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> CA, i i <br /> •' � S . Dr rrc� I <br /> I y�I ,� � uI� 1 r.� � <br /> AUG �- <br /> 1 <br /> 1 v <br /> !A ULUU <br /> ENVIRONMENTAL HEALTH DIVISION FILES AUG 22 2003 <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ;Z HOUSING ABATEMENT SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL t DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑. POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <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 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 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, TIME; <br /> DATE CONFIRMED' PHONE FAX INITIALS <br /> -�. <br /> REVIEWED " .YES NO .. REVIEW DATE <br /> EHD 48-02-006 <br /> 3/2612003 <br />