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04/21/2002 21:43 2095325852 GEOLOGICAL TECHNICS 51 h' <br /> PAGE 01/01 <br /> 01-23-2001 01:14PM FROM, TO _ <br /> SQ N JOAQUIN COUNTYPUBLIC HEALTH SERVICES9,34 <br /> wr ^ <br /> .ENVIRONMENTALHEALTH DIVISION 304 EAST WEBER AVENUE,THIRD FLOLOOR <br /> STOCKTON CA 95202 <br /> 02 ta;'il, 22 0 1: 21 (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT C P*`�L C .�� OUSINEBS/AGENCY <br /> ADDRESS <br /> \D <br /> -)'t r S� o a CN 5 3 5 <br /> PHONE S�'�'.� LANA FACSIMILE 5?-'-�- - L4 <br /> TENTATIVE APPOINTMENT DA'r! \�.Y �tia� Gc2. CCQi TIME <br /> 1II (Please give 7 to t�li days datq ppllo4SISS <br /> submittal <br /> CHECK BOX TO CXPEDmE REQUEST-$87.000 F UE PR E9 8DAYS <br /> SIGNATURE OF APPLICANT X19 • �� DATE <br /> I <br /> FILE ADDRRSS THIS SIDE END STAFF USM ONLY <br /> L PROGRAM ELeIaENTB SEARCH <br /> J as C- Cha�l'�.r �.La Z2,noG <br /> WCOVI✓ O �\a� W 23.OoCz7 <br /> `\ G Cd 3.00 <br /> Ss <br /> C-.-.. G w <br /> �, ao c. <br /> 1z s. R ,Yw-; <br /> wwuuuu 11 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 0 UNDERGROUND TANK(UST)CLEANUP SITU(LOP) ❑ HOUSING ABATEMENT t7 SOLID WASTE FACILITY <br /> i OTHER CLEANUP SITE(NON4.OP) ❑ FOOD FACILITY Cl SOLID WASTE VEHICLF <br /> • UNDEROROUND TANK(MONrrbRING/REMOVAL) 0 DOG KENNEL d DAIRY <br /> ai HAZARDOUS WASTE GENERAtOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY O MOTEUHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOO/BODY PPIRCiNG ❑ POOLISPA O LAND USE APPLICATION SITES <br /> ❑ MEOICAL WASTE FACILITY ❑ PUBUC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addr�$Ses in the apace above. Select the type(s) of files from the list above by checking <br /> the appropriate bo (es). At leant one file type MUST be selected- Fax tc 209) 464-0138 or mali to the <br /> address indicated, <br /> 2. EHD Will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately fivelbuslness days but no later than ten(10)days after receipt of application. The files <br /> Will be hold 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 b1 submitted when the file is available. <br /> 4. Any file not return <br /> ¢¢d in the same Condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. FlTture file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> S. *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 APPOINTMCNT DATE TIME <br /> DATE CONFIRMED PHONE FAX INrr1ALS <br /> REVIEWED YES NO REVIEW DATE <br /> qM 00 pyy7�p0 <br /> TOTRL P.01 <br />