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_05/01/2003 06:34 2094671 AGE STOCKTON PAGE 01/01 <br /> EPO LOG NUMBS <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> MAY 0 1, 2003 STOCKTON CA 95202 <br /> (209)468-3420 t <br /> .; ril_i\LPUBLIC RECORDS RELEASE APPLICATION �•� LL <br /> hbl L� <br /> APPLICANT 13USINESSIAGENCY �,�.'�'�O �:flVlronwgdaj.. <br /> ADDRESS ^�l Q't!!�� hO.W `-' <br /> A <br /> PHONE FACSIMILE ` ! —in4�— <br /> TENTATIVE*APPOINTMENT DATE TIME14SAp <br /> ea <br /> (Pleaw give 7 to 10 buslns drys from date of opplimtlon suMnitlal) ___ (I^eatll 1 �Urr� <br /> CHECK BOX TO EXPEDITE REQU 89.00 FEE—REQU T PROCESSED IN 3 BUSINESS CIA(S <br /> SIGNATURE OF APPLICANT DATE <br /> Ll <br /> 1-ate'-SL�S�D 1./YdA.d A�,�. /{'l1ll.� <br /> FILE ADDRESS Ti- 5111E EHD UTAFF IJ3E ONLYs <br /> PROGF;AhI FLFME 5 SEARCH <br /> � .;'./ ' <br /> ;617It ti tr TIF 3 <br /> LEI( <br /> i. is « •� �, S ,�, -rL,t. / <br /> nor-N-% W \ 5 <br /> �iOtJ \ h _ _ <br /> Y)PQ., Wtkwn S Cit. f 0 I✓1 0, <br /> * &56al <br /> h n R13 ,Q --- -- - <br /> �Jd lot teed, e. ouY-50f– ENVIRONMENTAL HEALTH DIVISION FILES MD;T SINVU(d hUet_. <br /> cose ulZCLI1� Wlto(t n41" <br /> UNDERGROUND TANK(US')CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ 30117 WA>TE FACILITY (.d <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE I`EHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) C DOG KENNEL ❑ DAJRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PRG TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER I RUCKfrARDICHEM TOILET$ <br /> ❑ TATTOOMODY PEIRCING ❑ POOUSPA ❑ UIND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY O OTHER(PLEASE <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 feast one file type MUST be selected. Fax to 1209)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 raoalpt 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 ai ailable 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 litaff at the expense <br /> of the applicant. Future file reviews by the some applicant may require a $89.00 delaosit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will he processed the next buslnesa clay. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DACE QONFIRMED PHONE FAX fNI'IIALS <br /> REVWWM YES NO REVIEW DATE _ <br /> ENG ta.024O --—----- <br /> ansnooa <br />