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Nov 04 02 12: 26p Kr an and Associates 5593 ?201 p . 2 <br /> 111 n4/14Lnt7'L 1l7:.ib 4640136 []rV1R9h 1JTCl HEALTH PAGE 0 <br /> SAN JOAQUiN COUNTYPUBLiC HEALTH SERVICES -4056 <br /> I ENVIRONMENTAL HEALTH.DiViSiON RECEIVED <br /> 304 EAST WEBER AVENUi~,THiRD rLOOR <br /> STOCKTON CA 95202 NOV O y 2002 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION BY: <br /> APPLICANT 91 LL /G Ik ,,�7 eV5INES3[AGrNCY <br /> ADORISS "W5- W DA 0711 CLOVIS� �//T` /'�� <br /> PHONE <br /> TENTATIVE'APDOlTiTMENT onYE Izz:? TIML "CIO <br /> (PIcII;�phi♦7 to 10 bvzlrfoss day+from dald of cppllwllcm su0m1(ioU <br /> CHECK DOX TO EXPEDITE REQUEST.$a3.00 FEE- C INSiEYS <br /> DATE <br /> SIGNATURE OF APPLICANT _ <br /> FILL ADDRE5S THIS SIDE EH0 STAFF U5C ONLY <br /> PROGRAM ELCMCN7L SEARCH <br /> a <br /> 790 <br /> OWcr�No a . LAN L ArH,�irD �s�" Aft�Am <br /> amn <br /> ni Inv <br /> �,0�u I L <br /> ENVIRONMENTAL HEALTH DNISION FILES ' <br /> UNDERGROUND YANK(UST)CLEANUP SITE(LOP) 17 "Qdj5ING ABATEMENT 0 SOLID WAS YE FACILITY <br /> O OTHER CtEtv+UP SITE NON-Lop) 0 Food FACILITY 0 SOLID WASTE VFHiCL.E <br /> E)AJ <br /> UNDRGROUNO TANK VAOWT0RIH=9rAOVA1-I Cl DOG K[NNEL 0 PKG TREATMENT <br /> ATMENr rLANY <br /> iA7, US WASTE GEN&RATOR O CHICKEN RANCH 0PUMPRTRUCKNAR0MH <br /> 0A TOILET'. <br /> O TIERED PERMTED KACILrrY D CTEL <br /> O POOL/SPA O LaNV USC APPLICATION SITES <br /> 0 TATTOOfUOOY PCIRCINGO PV9UC WATER SYSTEM O OT}IFR(PLEASE SPECrF'Y A00vC) <br /> P MGOtCAL WASTIZ FACILITY + <br /> 1. List up to ten addresses in the space above. Select the typos)of(ilos from thv list above by checking <br /> the appropriate box(es). At least one n10 type MUST be salected. Fax to 209 46:a-Q1 8 Or mall to the <br /> < <br /> addrns indic'Otcd above. <br /> 2. EHD will notify the applicant if any EHO rigs exist. An appointmont for review w(11 be confirmed <br /> approximately five business days but no later than ton (10)days attar receipt of appliCOVOn. The flies <br /> will bo held for a maximum of live bUSineSs days for review. Appointments should be schcdulod <br /> A accordingly. <br /> a. A rite Lhat.is actively bhing worked on by END staff may not ba immedlately available for review. Anew <br /> application may bo submitted when the file is available. <br /> A. Any file not roturnod in the same condition as relaa•sed will be reorganized by EHD staff at the expense <br /> or the applicant. Future File reviews by the same applicant may require a $89.00 deposit prior to rMaw. <br /> 5. *TENTATIVE appointment dates must bo conflrmod with EHD staff. <br /> G. Applicatlons received after 3:00 pm wilt be processed the next buslne:. d3y. <br /> CONFIRMED APPOINTMENT DATE, TIME <br /> PHONE FAX INITIALS <br /> DATE CONFIRMED <br /> RF-VIEWED YES, NO REVIEW DATE <br />