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-FRuri'IIu OA Environmental PHONE N0. : 209 369 4228 � i. 17. 2003 11:05RM P2 <br /> kNe SN eUM9F,f! <br /> SAN J UIN COUNTYPU6LIC HEALTH :�EafWICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> JUN 1 1 2003 304 EAST WEBER AVENUE,THIRD 1=LOOK 2 <br /> STOCKTON CA 95202 I/) <br /> ENVIHWPIMEi`JT HEALTH ('09)468.3420 <br /> PFRMFf SERyirr<; PUBLIC RECORD.1 RELEASE APPLICATION _ <br /> APPLICANT L e lC 0'?J/leM/ BUST/NI_SSIAGENCY A✓� ��`�LI —� <br /> ADDRESS ZZ.. kj. <br /> PHONE L2D5) o7���/ FACSIFIILE(.Z49J34l - <br /> TENTATIVE'APPOINTMENT DATE �` 4,/03 3 TIME9_4� <br /> (Please give 7 to 10 busteoes a"tram date of application su�Mitl il) <br /> CHECK BOX TO EXPEDITE REQUE.SyEE- QUEST PROCESSED IN 1 BUSINESS DAY.' •I� ✓ t� <br /> SIGNATURE OF APPLICANT L� /� DA7'(3l <br /> FILE ADDRESS THI:t SIDE k HO STAFF USE ONLY <br /> PR OO RANI ELEMENTS SEARCH <br /> �Er(o Prt IJf <br /> 0 800 F Joc w <br /> J07 I,J+ISon G)aIUY . <br /> I v J 5 _ _ <br /> Do <br /> 5a - <br /> r <br /> JL <br /> K _ <br /> !1 M7�,. 1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> BC UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Cl HOUSING ABATEMENT EI I;OL11: WASTE FACILITY <br /> SEC OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY EI :;OLK WASTE VI'_HICU-- <br /> er UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOSI KENNEL EI DAIR1' <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHVJKEN RANCH U F'KG 1 RE14TMrPNT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MO-ELIHOTEL CI POMP ER TRUCKMARCICHEM TOU.ETS <br /> ❑ TATTOOIBODY PEIRCWG O POOIISPA ❑ I.ANO USEAPPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PU@'LIC WATER SYSTEM ❑ (TTHE1(PLEASE SPECIFYABOVr) <br /> 1. List up to ten addresses in the space above, Select the type(s) of filer fro-.n the list above by chocking <br /> the appropriate box(es). At least one file type MUST be selected. Fnx,to ;?0, 9�84-0138 or mall to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for re.riew will be confirmed <br /> approximately five business days but no later than ten(10) days after recOpt 01!applicat,ion. The files <br /> will be held for a maximum of five businer s days for review. Appoiahnenrs should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by t:HD staff may not be Immediately available for review. A new <br /> application may be submitted when the fit Is available, <br /> 4. Any file not returned in the same condition as released will be reorilanized by EHD staff at the expense <br /> of the applicant. Future file reviews by tha same applicant may require a !;89.0()deposil:prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3:00 pm will bo processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INCfUAI_5 <br /> REVIEWED YES NO REVIEW DATE <br />