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Ua/U3/02 TUE 07:07 FAX 415 892 9475 PES ENVIRONMENTAL 001 *08/30/2002 15:34 2083433 FIFTH FLOOR* PAGE 02 SAN JOAQUIN COUNTYPUSLiC HEALTH SERVI H ENVIRONMENTAL HEALTH DtVISION � w 304 LAST WEBER AVENUE, THiR6 FL00R 1 STOCKTON CA 95202 lJ 1, E � W E IJ (209) 468-3420 PUBLIC RECORDS RELEASE APPLICATION SEP 0 3 2002 APPLICANT SgtJL- AeA, %APgAd BUSINESSIAGENCY rC-S � N�I�oN,K�-r, NVI,R,Q�NIENT HEALTH ADDRESS 14'8Tr 1 uV#,k'7'o Q�'vQ.� !?-� l00 rlov �J 9 PHONE 'it� . 'S 17 . I(a oo tiro c,4 y7 --- FAGSIMiLE `t L s'• 8 cl q. f` o TENTATIVE". APPOINTMENT DATE I �' Z d (Please giVeWo b TiME t "'.N;e�rottt �fappllC 911b17filtal) CHECK BOX TO EXPEDITE REQUEST. $89.00 EE - REQUEST PROCESSED ] D INE$S DAYS SIGNATURE OF APPLICANT DATE $ 3 a / c -4- �nOOTHER ENVIRONMENTAL HEALTH DIVISION FILES NDERGROUND TANK N9T) CLEANUP SITE (LOP) D HOUSINGAEATEMENT 0 SOLID WASTE FACILITY CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY ❑SOLID WASTE VEHICLE' � UNDERGROUND TANK (MONiTORINGIREMOVAL) C] DOG KENNEI, ❑ DAIRY HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH d 0 TIERED PERMITTED FACILITY PKG TREATMENT PLANT ❑ TATT40180DY PEIRCING ❑ MOTffLlHO FEL ❑ PUMPER TRUCKMARDICHEM TOILLTS O MEDICAL WASTE FACILITY 13 POOLISPA O LAND USE APPLICATION SITES ❑ PUBLIC WATER SYSTEM ❑ OTHER (PLEASE SPECIFY ABOVE) 1• List up to ten addresses In the space above. Select the ! thea p riate box� yPe(s) of files from the list above by checking ppro es� . At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address Ind; ted above. 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately five business days but no later than ten (10) days after receipt of application. The files will be held for a maximum of five business days for review, Appointments should be scheduled accordingly. 3. A file that -is actively bi'ing worked on by EHD staff may not be Immedisltely available for review. A new appl)Cation may be submitted when tho file is available. 4• Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future Fite reviews by the game Applicant may require a $89.00 deposit prior to review. S. *TENTATIVE appointment dates must be confirmed with EHD staff. s• Applications received after 3:00 pm will be processed the next business day. CONFIRMED APPOINTMENT DATE, TIME DATE CONFIRMED PHONE FAX INITIALS REVIEWED _•��_.� YES NO REVIEW DATE �. gni' JIVt 1=M❑STAFF USE ONLI "' PROGRAM ELEMENTS SEARCH jM 3 -2-C.61S. S. A I a o R w ti s t -o c k-r'o r/ tiIRPow-r wq fToclCTb,� Cc_ 5T2''T STock.a.r 'L.7 0o T. c,4�1 I�oRt11 r7-aa� �— a n. 25o �y02 S EL p Oo TP12 4Toc�-ra, f17 l� -2 5, c"�IF�Rr+�h rT12d�?T sTockTO q 11 -7 v.eyi s-roC-k.-r'.4 i 310 T . e DDR Oo ST�a iTOc.IG-Ya.-f g33 E. S -M Sret+,z-r SToc.lc.'ro,-{ , �nOOTHER ENVIRONMENTAL HEALTH DIVISION FILES NDERGROUND TANK N9T) CLEANUP SITE (LOP) D HOUSINGAEATEMENT 0 SOLID WASTE FACILITY CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY ❑SOLID WASTE VEHICLE' � UNDERGROUND TANK (MONiTORINGIREMOVAL) C] DOG KENNEI, ❑ DAIRY HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH d 0 TIERED PERMITTED FACILITY PKG TREATMENT PLANT ❑ TATT40180DY PEIRCING ❑ MOTffLlHO FEL ❑ PUMPER TRUCKMARDICHEM TOILLTS O MEDICAL WASTE FACILITY 13 POOLISPA O LAND USE APPLICATION SITES ❑ PUBLIC WATER SYSTEM ❑ OTHER (PLEASE SPECIFY ABOVE) 1• List up to ten addresses In the space above. Select the ! thea p riate box� yPe(s) of files from the list above by checking ppro es� . At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address Ind; ted above. 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately five business days but no later than ten (10) days after receipt of application. The files will be held for a maximum of five business days for review, Appointments should be scheduled accordingly. 3. A file that -is actively bi'ing worked on by EHD staff may not be Immedisltely available for review. A new appl)Cation may be submitted when tho file is available. 4• Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future Fite reviews by the game Applicant may require a $89.00 deposit prior to review. S. *TENTATIVE appointment dates must be confirmed with EHD staff. s• Applications received after 3:00 pm will be processed the next business day. CONFIRMED APPOINTMENT DATE, TIME DATE CONFIRMED PHONE FAX INITIALS REVIEWED _•��_.� YES NO REVIEW DATE �.