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0�,9/2003 12:00 FAX 209 9480621 100t12+(I02T� <br /> DATE RC'GFtVf.O —, J Wit)LOG NUMBER <br /> ' I , SAN JOAQUiN COUNTYPUBLIC HEALTH SERVICES <br /> 'I� ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> MAR 1 9 2003 STOCKTON CA 95202 C„j <br /> (209)458-34206 O <br /> E!`ib'Ii}�(�MENT i-IEALTH pUBLIC RECORDS RELEASE APPLICATION _ <br /> APPLICANT_ y L?j 57 'c�LA-,S BUSINESSIAGENC1( �L 1•- -� 5.,��� "''� <br /> ADDRESS — `� <br /> PHONE R-' H SS'I W S- FACSINULE 7.0q- 6Z. I <br /> TENTATIVE*APPOINTMENT OAri= 3 129 TIME <br /> (Please give 7 to 10 business days from date of appUcatlon sUhmittal) _ <br /> CHECK BOX TO EXPEDrrE REQUEST-$87.00 E-REQUEST PROCESSED IN 3 BUSINESS DAYS �n ' <br /> SIGNATURE OF APPLICANT DATE � C2 <br /> FILE ADDRESS THIS SiOE EHD STAFF USw ONLY <br /> pROGRNA ELEMENTIS SEARCH <br /> M9034 [?DAD- 12Mffl9f G fw D <br /> Ewe, L.04%L1 ) - <br /> 4 <br /> CA — <br /> in7 E P. E. Ttf o <br /> lav► �tw ('*� tjgf f cA <br /> vJ t.cal►��t P►� "F►R.� cJ+ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SIT(LOP) O HOUSING ABATEMENT Ot SOLID WASTE FACILITY � <br /> OTHER CLEANUP SITE(NON-LOP) CI FOOD FACILITY 'P SOLID WA=VEHICLF, <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) El DOG KENNEL PL DAIRY PKC YrtPA7MENTPLANT <br /> 1% HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH <br /> fA TIERED PERMITTED FACILITY 0 MOTEUHOTEL _ 10 PUMPER TRUCk7YARD/CHEM TOILE 5 <br /> T' <br /> 0 TATTOOIBODY PEIRCING 0•POOL/SPA -' ISL LAND USE APPLP:ATiON SITES <br /> O MEDICAL WASTE FACILITY I L PUBLIC WATER SYSTEM ❑ OTHER(PLEASE:SPECIFY A OVE) <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 2tig1464•&t136 or mail to flee. <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for rev(ow will tie confirmed <br /> approximately five business days but no later than ten(10)days after receipt of applicatlon. The files <br /> will be held for a maximum of rive business days for review. Appointments shoultl be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff-may not be immediately avallable for review. A nE'w <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 expe-nr. <br /> of the applicant. Future file reviews by thb same applicant may require a$97-00 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 IINIT1AL:3 <br /> REVIEWED YES NO REVIP.W DATE ---- <br /> ..,.. . <br />