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�APr • 15 . 2004 10: 56AM He Anderson & Assoc . No •4781 P - 2 <br /> SAN JOAwJIN COUNTYPUBLiC HEALTH SERV. .S <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WESER AVENUE,THIRD FLOOR <br /> A P R 1 5 2004 STOCKTON CA 95202 <br /> (209)463-3420 <br /> rj[i1L1H PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT SUSiNESSIAGENCY__ Ne-'i <br /> �^ l�, !th�C'.�S 0►� I�SSC�G�`a s <br /> ADDRESS 902- ;r c u5+6 4 W n J Loa \ q c-�71 S 2 <br /> PHONE 2r0, -- - FACSIMILE <br /> TENTATiVE'APPOINIMENT DATE A Pr,k 2,91 20O 1 TmE S A• M' <br /> (Plaace give 7 to 10 buslneas days from date of application wbmiftal) 45 <br /> ' <br /> CHECK BOX TO EXPEDITE REQUE$T CESSED 1N 3 BUSUYESS DAYS UA � r <br /> SIGNATURE OF APPLICANT DATE s ��� <br /> 0 FE —RE U PRO <br /> RSTAFF USE ONLY <br /> `LE ADD Skov kT0 Y1 L355,20 o RSOGRAM SIDEHELEMEWr�$SEARCH <br /> C- Gt\4 (4 <br /> 6 ' Z-7 GS Sto-r!�d c r-� <br /> e L73 <br /> MA A <br /> e� <br /> vine �� a <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> �DERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING A13ATEMENT �OUD WASTE FACiLIY <br /> ER CLEIWUP 617E(NON-LOIS) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> DERGROUND TANK(MONiTORMIREMOVAL) 13DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENCRATOR ❑ CHICKEN RANCH ❑ PKO TREATMENT PLANT <br /> LD TIERED PERM=D FACILITY 0 MOTELMOTEL ❑ PUMPER TRUCWYARDICHEM TOILETS <br /> ❑ TATTOO/EDDY PEIRCING 0 POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MIDiCAL WASTE FACILITY CI Puauc WATER SYSTEM O OTHER(PLEASE 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 /> tho appropriate box(es). At least one file type MUST be soioctod. Fax to(209) 484-0138 or mail to the <br /> address indicated above, <br /> 2. END will notify the applicant K 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 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 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 reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$88.00 depotit prior to review. <br /> 5. 'TENTATIVE appointment dates mutt be confirmed with EHD staff. <br /> 6. Applications receival after 3:60 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE Tih1E <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES` NO REVIEW DATE <br />