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,FRG•T-jr_, A Environmental PHONE NO. : 209 369 4228 Jure. 11. 2003 11:05Ah1 P2 <br /> SAN QUIN COUNTYPUBLIC HEALTH RVICES kHDI,[SCNwdSER <br /> I <br /> ENVIRONMENTAL WEALTH DIVIS10N <br /> JUN 1 .1 2003 304 EAST WESER AVENUE,.THIRD CLOOR <br /> STOCKTON CA 95202 <br /> LAVIROW10ENT HEALTH (209) 468.3426 _ <br /> PFRN1+T/sE V PUBLIC RECORMS RELEASE APPLICATION <br /> APPLICANT_j!.Oj a l3USINJSSS=9NCY AL , <br /> ADDPXSS 2-Z- <br /> ?-05 <br /> - <br /> PHONfwr�S� � FACS1141L �z¢9�3_ Cv`ti `fra <br /> TENTATIVE*APPOINTMENT DAT£ l°< 141/0 3 TIME 12V;!) <br /> (Please give 770 10 buslrmt:s ays irom data of$pptiratlon sut)mitt 1J) W <br /> � •1 <br /> CHECK 80X TO EXPEDITE REQUEST- EE Q111=ST PROCESSED IN 3 B1J51NE:13 OA�'.s" 3 i <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADARESS TH1:L 31b rrti]^aTAFF USE ONLY <br /> PRpWUM ELEMENTS SEARCH <br /> ,ergo <br /> goo -f'. Lac ,ti <br /> i Q �, J 54 <br /> e a .s? <br /> r, O ^ r <br /> G ' i oC <br /> / •� 41 � �+ <br /> ENVIRONMENTa1L HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT Cl ,oUr WASTE FACILITY <br /> 18C OTHER.CLEmup SITE(NON-LOP) ❑ FOC1D FACIL rry E1 SOLIL WASTE VI_HICL1° <br /> 8f UNDERGROUND TANK(MONITORINGlREMOVAL_) d DOC,KENNEL L1 LAIR), <br /> Q HAZARDOUS WASTE GENERATOR ❑ C141,''KEN RANCH V PKG 1,;RCA.Thlr�1'C PLANT <br /> 0 TIERED PERMED FACIL rFY ❑ IVIO 'ELMOTEL 0 11UMI31TR'rRue KfYARCICNEh1 TQIL.ETS <br /> ❑ TATTOOIBODY PEIRCING R POCILtSPA 11 LAND USFAPPLICATION SITE$ <br /> a MEDICAL WASTE FACILITY ❑ PUP UC WATER SYSTEM Cl OT"E.1(PL.EASE SPECIFY AROVr:) <br /> 1. List up to ten addresses in the Space above. Select the type(s) of file:.fro.-.n the list above by checking <br /> the appropriate box(es). At least One file type MUST be selected: Fax. 2J.-09 484-0138 or mail to the <br /> address indicated above. R <br /> 2. EHD will notify the applicant if any EHD files exist. .An appointment:far re°riew ifrill be confirmed <br /> approximately five business days but no later than ten (10)days after receipt of applicai,ion. The files <br /> will be held for a maximum of five busine_s days for review. Appoirsbnents:?should be scheduled <br /> accordingly, <br /> 3. A file that is actively being worked on by E:HD staff may not be immediately available for review. A new <br /> application may be submitted when the fila Is avallable, <br /> 4. Any file not returned in the same condition as released will be reorganized by E HD staff at the expense <br /> of tho applicant. Future file reviews by thn same appliC8nt may require a !,89.00 deposil:prior to review. <br /> 5. *TENTATIVE appointment dates must be c-onfirmed with EHD staff. <br /> G. Applications received after 3:00 pm will bdi processed-the next busine>s tiny, <br /> CONFIRMED APPOINTMENT DATE. nw, <br /> DATE CONFIRMED PHONE FAX El�lt'C"1�11_S <br /> REVIEWED YES NO REVIEW DATE <br />