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I , 08/03 FR 15:15 1+Al-"'915 3f` -013 KLliIYILLI)lill 1 (Qj000 <br /> DATE RECIEIVED� ,,I f '�'? - <br /> ''i1 END LOO NUMUER <br /> SAN JOAQUIN COUNTY <br /> ENVI304 @AST WEBER ANMENTAL V NUEHDEPARTMENT <br /> RD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> ' ` ' i `PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT JYAnn" V✓k('(A1e1A_POV1' ` BUSINESS/AGENCY ny-141'N <br /> ADDRESS 3O—T� *ff Cf✓t? I� t'ne.VC.t WI eh,�1)C.) <br /> PHONE ryJ(/ ✓(Pt0 " 1.2'0 FACSIMILE �rI1l0 30(e <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> (Please give T to 10 business days from date of application submittal) r <br /> CHECK BOX TO EXPEDITE REQUEST—$89.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> i <br /> SIGNATURE OF APPLICANT �' PiGk. 'G'1�l DATE �� ® S <br /> " FItit"A6 1R SS' THIS SIDE EHD STAFF USE ONLY <br /> i' PROGRAM ELEMENTS SEARCH <br /> i lAG � <br /> d? <br /> 14(A <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP)jRf-HOUSING ABATEMENT SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LQP) D FOOD FACILITY C] SOLID WASTE VEHICLE J .. <br /> .UNDERGROUNDTANK(MONITORING/REMOVAL) ` l7 yDOG KENNEL DA]RY <br /> 0-HAZARDOUS WASTE GENERATOR CHICKEN RANCH _ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL Q PUMPER TRUCK/YARD/CHEM TOILETS <br /> D TATT0018,00Y PEIRGIN,G ❑,POOL/SPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE-FACILITY` ❑ OTHER(PLEASE SPECIFY) <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(2091464-0138 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 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$89.00 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 /> tl <br /> CON FI RMED'APPOINTMENTDATE, <br /> , <br /> t <br /> DATE CONFIRMED' PHONE FAX INITIALS, <br /> i. <br /> REVIEWED YES' NO. <br /> " REVIEW.DA°f <br /> EMD 4a•02.006 <br /> 312612003 <br /> COPY <br />