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* Apr .10- 2002 11 :32AM LoWDOR EARTH TECHNOLOGIES <br /> No-9070 P.. 1/1 <br /> END LOG NUMMA <br /> Aft <br /> nnrs En v,���` AN JOAQUIN CQUNTYPl1B1~!C HEALTH 1 E VICE <br /> �;,• ;it:;; ENVIRONMENTAL HEALTHDIV1St N <br /> 304 EAST WEBER AVENUE,THIRD FLO R le <br /> STOCKTON CA 95202 ` <br /> 0 Q (209)468-3420 <br /> 2AQ \ PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT lAt-CNA9-t- MC6VE'M2 BUStNESSIAGENCY CD�QoK m ��"oc.aG.lC<s <br /> ADDRESS f 88__ '''K (.��sr Cr c. T lip <br /> PHONE FACSIMILE9".�-3 <br /> R a. <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> (Please g(ve 7 to 10 business days from of ap tlop ssow <br /> ttat) f <br /> C <br /> .CHECK SOX TO EXPEDITE REQUEST-; .00 F --RE VE ROCESSE IN 8 NESS AYS r �' <br /> SIGNATURE OF APPLICA _- <br /> DATE �Ib ,\ <br /> FILE A00RES3 Tt31S SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 6E s M N I'-OAI> <br /> W1L.L/i1-M Moss OL✓D. <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 1 UNDERGROUND TANK(USTj GIFANLIP SCI'IE:(LOP) 13 HOUSING ABATEMMEt1Y SOUD Cl SOLID WAAS' VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) M FOOD FACILITY <br /> 19 UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ pKGDAIT <br /> ❑ CHICKEN RANCH ❑ ptCG TREATMENT PLANT <br /> 0 HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANTEL 0 PUMPER TRUCKtYARDICHEM TOILETS <br /> to TIERED,PERMITTED FACILITY 9p LAND USE"PLICATION SITES <br /> E3TATTOO/BODY PEIRCING d POOLISPA ❑ OTHER(PL9Asl:SPECIFY ABOVE) <br /> .14 MEDICAL WASTt:FACILITY 0PUa9LiC WATER SYSTEM <br /> 1. List up to ten addresses in the space above. Select the type(s) of fifes from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 12091464'0138 or mail to#tie <br /> address indicated al�Oye <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 reorganised by EHD 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 EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> f 4ONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br />