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09/03/02 TUE 07:07 FAX 415 892 9475 PES ENVIRONMENTAL 0001 <br />100/30/2002 15:34 20 3433 FIFTH FLOORS ( PAGE 02 <br />SAN JOAQUIN COUNTYPUBLIC <br />y HEALTH SERV( ��N <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR 1 'RECE E <br />DD <br />1 STOCKTON CA 95202 <br />(209)468-3420 <br />PUBLIC RECORDS RELEASE APPLICATION SEP 0 3 2002 <br />APPLICANT SA.+L tiejz .IAmAd BUSINESWA09NCY Pe.S �N+rAo.I..�brrT. NVI�,Q�IMENT HEAL <br />ADDRESS (V'52- I'loV/ITo M, -VD., j-rW too rtoJATo C.A 949`4? <br />PHONE `(1 • 9 q q -. I (. e o _ PAdSIMILE col 5• 9 19 - f 6 o I - -- <br />TENTATIVE*.APPOINYMENTDATE 9 l2 O Z TIME •I t ^N <br />(Please aloe Talo W hhialnesS_damOmm dmaof awllealtnn <oihmw2i% <br />CHECK BOX TO EXPEDITE REQUEST-$89A�oj E�REQU'E'S"T PROCESSVEDM S B INESS DAYS <br />SIGNATURE OF APPLICANT _ l/`�`' DATE $ 30 o zl <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />rdAJNDERGROUND TANK (U" CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT 13 SOLID WASTE FACILITY <br />!S OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br />12( UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL 0 DAIRY <br />WHAYARDOUS WASTE OF14ERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br />❑ TIEREO PERMITTED FACILITY ❑ MOT'HIMOYEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br />0 TATTOOIeODY P1;WCING ❑ POOLISPA 0 LAND USE APPLICATION SITES <br />0 MEDICAL WASTE FACIL17Y ❑ PUBLIC WATER SYSTEM 13 OTHER (PLEASE SPECIFY ABOVE) <br />. I <br />1. List up to ten addresses In the space above. Select the type(s) of files from the list above by chebXing <br />the appropriate box(es). At least one file type MUST be selected. Fax to (2091464-0138 or mail to the <br />address indicated aliove.- <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 boring worked an by EHD staff may not be Immedlately available for review. A new <br />application may be submitted when the file Is available. <br />4. Any!lie. not returned IA the same condition as released will be reorganized by EHD staff at the expanse <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 />CONFIRMED APPOINTMENT DATE. TIME <br />DATE CONFIRMED PHONE FAX INITIALS <br />REVIEWED YES NO REVIEW DATE '' <br />FILE ADDRESS <br />THUS SIDE END STAFF Use ONLY <br />PROGRAM ELEMENTS SEARCH <br />3y3 <br />S. Alp. of wt- s roc)cror/ <br />1f. t: <br />T. ArRPo0.T wA fTocKTbr/ <br />3 ZN2 <br />S. CL DeRhDo STRd@T SToc KrAr/ <br />)/l <br />'L700 <br />S. CA"ICORr41 rT¢d — $Ta ticTerJ <br />,�Q <br />-.,. .._C_�• <br />2402 <br />5, C^Lc FaRr+rrt T-M0,.2T tTocK.-ro.{ <br />os' <br />S...GR�•1 F�+t.•I •+� S'I'Tt+2tT S'r ck,-ro,{ <br />3Io� <br />r• et- <br />$3'S <br />E. g •M S-r'Rd•3'f- SToc.KTer/ <br />' <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />rdAJNDERGROUND TANK (U" CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT 13 SOLID WASTE FACILITY <br />!S OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br />12( UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL 0 DAIRY <br />WHAYARDOUS WASTE OF14ERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br />❑ TIEREO PERMITTED FACILITY ❑ MOT'HIMOYEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br />0 TATTOOIeODY P1;WCING ❑ POOLISPA 0 LAND USE APPLICATION SITES <br />0 MEDICAL WASTE FACIL17Y ❑ PUBLIC WATER SYSTEM 13 OTHER (PLEASE SPECIFY ABOVE) <br />. I <br />1. List up to ten addresses In the space above. Select the type(s) of files from the list above by chebXing <br />the appropriate box(es). At least one file type MUST be selected. Fax to (2091464-0138 or mail to the <br />address indicated aliove.- <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 boring worked an by EHD staff may not be Immedlately available for review. A new <br />application may be submitted when the file Is available. <br />4. Any!lie. not returned IA the same condition as released will be reorganized by EHD staff at the expanse <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 />CONFIRMED APPOINTMENT DATE. TIME <br />DATE CONFIRMED PHONE FAX INITIALS <br />REVIEWED YES NO REVIEW DATE '' <br />