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FEB -14-2002 12:25 FROM:TWINING LABS INC. 5592687126 T0:4690138 <br />N.00i/uH1 <br />10-17-2000 10:r1 FRO TO 15592587126 P.02 <br />SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES `'4N�MULH <br />ENVIRONMENTAL HEALTH DIVISION <br />304 FAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />(209) 468,34ZO <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT—a-1 n J <br />BUSINESSIAGENGY T 1 -I G <br />ADDRESS <br />_ ,r <br />rr 5 -t.-p C i <br />PHONE c�.6 n FACSIMILE 7 - <br />TENTATIVE' APPofNTMr;NT DATE id 2Q • <br />(Please give to business da s fr TWE <br />a$rt PII�tIon submittal) f F E 8 4 2 <br />HECK BOX TO EYpggtTE RI gUES - 7.0p <br />TN <br />EST ES�g <br />SS DAYS <br />SIGNATURE OF APPLICANT <br />DATE /y <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />,1 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />O OTHER CL.EAHUP SUE (NON-L0P) <br />0 HOUSING ABATEMENT <br />O SOLID WASTE FACILITY <br />UNDERGROUND TANK (rd0NIT0RINGlREMOVAL) <br />'16' HAZARDOUS WASTE GENERATDR <br />❑ FOOD FAClUTY <br />C3 DOG, KENNEL <br />❑ DA RY WASTE VEHICLE <br />❑ DAIRY <br />❑ TIERED PERhtdTTED FACILITY <br />C1 CHICKEN CHICKEN R <br />❑ MOTELMOTEL <br />❑ PKG TREATMENT PLANT <br />t- TATTOQrgODY PLIRCING <br />MEDICAL WASTE FAC WTY <br />❑ POOLlSPA . ` <br />❑ PUMPER TRUCKtYARWCHEM TOILETS <br />O LAND USE APPUCATIoN SrTES <br />13 PUBLIC WATER SYSTFM <br />0 OTHER (PLEASE SPECIFY ADOVT:�, <br />�• List up to ten addrosses in the space above. Slalect the types) 0f files from the list above by �hecking <br />t.'Ie appropriate bvx(es). At least one file type MUST be selected. Fax to 209 .013 r mail to <br />address' dice d abov <br />2. EMD will notify the applicant if any EHO files exist. An a <br />ppQintment ed <br />approximately frve business days but no later than ten ( 0) days after oreceipt f ar review wilppllCati nbe .-The files <br />Will be held for a maximum of five business days for review. Appointments shold be scheduled <br />accordingly. u <br />3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br />4 <br />aApl"tion may be submitted when the file is avaitablo. <br />Any file not returnCd In the same condition as released will be reorganized b EHb <br />5 of the applicant Futitre file reviews by the same applicant may require a $8 00 deposit prior the <br />review, <br />`T!~NTATIVE appointment dates must be confirmed with EHD staff. <br />6. Applications received after 3:00 pm will be processed the next business day. <br />l <br />EONFIRMED APPOINTMENT DATE <br />4ATE CONFIRMED <br />_.�"rrcu YES NO <br />w u caimm <br />TIME <br />PHONE FAX INITIALS <br />REVIEW DATE <br />TOTAL P.02 <br />