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00/17/20.03 09:37 FAX 209 9480621 10003/004 <br /> UM LOGS NUMBER <br /> / SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> SEP 1 7 2003 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> ENVI 0W\AEH1 HEALTH STOCKTON CA 95202 <br /> PERMIT/SERVICES (209)468-3420 <br /> PUBLIC RECORDS RELEASE •APPLICATION <br /> APPLICANT ` Lk-1-N BUSINESS/AGENCY <br /> ADDRESSC� � CIC�I�i- x'31 � ZC7 S- <br /> PHONE - r1 FACSIMILE C-0,e —C7!4),—o 6r2 I <br /> TENTATIVE*APPOINTMENT DATE _ �Z�' O TIME 12,1 c2 0 <br /> (Please give T to 10 b 1neness days from date of application submittal) r <br /> CHECK BOX TO EXPEDITE REQUEST-587.00 FEE- QUEST PROCESSE 3 BUsUVESS DAYS , <br /> SIGNATURE OF APPLICANT - DATE Q V,% 0) <br /> 1 <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> H e tt w 9 S i o cx �v„� I } <br /> 3 s tz o Nft <br /> Liu <br /> S 4 b K1w. <br /> MZ <br /> Mz— <br /> << < <br /> ENVIRONMENTAL HEALTH DIVISION FILES�d <br /> qt UNDERGROUND TANK(UST)CLEANUP SITE(LOP) a HOUSING ABATEMENT SOLID WASTE FACILITY <br /> Cd'OTHER CLEANUP SITE(NON-LOP) C] FOOD FACILITY 13 SOLID WASTE VEHICLE. <br /> qt UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL M DAIRY <br /> 1x31 HAZARDOUS WASTE GENERATOR O CHICKEN RANCH 93 PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL O PUMPER TRUGK/YARD/CHEMTOILETS <br /> C3 TATTOMODY PEIRCING ❑-POOUSpA -- -*" !RI•LAND USE APPLICATION SITES <br /> CI MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLrASE SPECIFY ABOVE) <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 (209)464-0138 or mall to the <br /> address Indicated above- <br /> 2. <br /> bove ,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 flies <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 rearganlzed'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 /> CONFIRMED APPOINTMENT DATE TIME., <br /> DATE CONFIRMED PHONE FAX INrnALS <br /> REVIEWED YES NO REVIEW DATE . <br />