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FROM : Geo -Phase Environmental Q. FAX NO. : 2095690295 Flay. 26 2002 02:03PM P2 <br />SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />� J, 304 EAST WE5ER AVENUE, THIRD FLOOR <br />5 STOCKTON CA 95202 <br />(209) 468-3420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />n���NED <br />MAY 2 B 2002 <br />APPLICANT Sr i:®', k��o�4e + ENVIR04MENT✓fF EALTH <br />aUSINE$SlAGENCY_ � �A�r ..y✓/*1Tz lG� ICiES <br />ADDRESS A9'3 !/� d•M �-mid +�'GST� G� <br />PHONL _0__ ;rsCFACSIMIL11 <br />TENTATIVEE' APPOINTMENT DATL"7�' TIME !" - <br />(Please Hive 7 to 1Q urines: delays from <br />dateplicSIN'CS50AYS <br />tiubmittal) <br />X4CHECK BOX TO,EXPEOfE REQUEST • $07.00 E TMSSAfI3 <br />SiGNATURE OF APPLiCANT DATE <br />rILE ADDRESS <br />THIS SIDE EHD STAFF U512 ONLY <br />PROGRAM ELEMENTS SEARCH <br />�--� <br />i <br />i <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />Uti0l:RGKOUND TANK (UST) CLC•_ANUP SITE (LOP) 0 HOUSING A13ATEMUNT O SOLID WASTE FACILITY <br />OTHER CLEANUP SiTE (NON -LOP) D FOOD FACILITY O SOLID WASTE VEHICLE <br />UNOERG ROUND TANK (MONITORINGIREMOVAL) 0 DOG KENNEL O DAIRY <br />HAZARDOUS WASIE GENERATOR 0 CHICKEN RANCH © PKG TREATMENT PLANT <br />TIERED P5RMITT50 FACILITY 0 MOTEUHDTEL O PUMPER TRUCK/YARD/CHEMTOILETS <br />0 TATTOO1800Y P4IRCING 0 POOUSPA 0 LAND USE APPLICATION SITES <br />O MEDICAL WAST9 FACILITY O PUBLIC WATCR SYSTEM O OTHER tPLEASE SPECIFY ABOVE) <br />1. List up to ten addresses in the space above. Select the typc(s) of files from the list above by checkinrd <br />the appropriate.box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the <br />'iddress indicated above. <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 ton (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 fill: that is actively being worked on by EHD staff may not be immediately available for review. A new <br />application may be submitted when the file is available. <br />4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br />Of the asplicant. Future file reviews by the same applicant may require a $87.00 deposit prior to review. <br />5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br />ti. Applications rf:ceived after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE <br />DATE CONFIRMED <br />REVIEWED YES <br />—-- <br />TIME <br />PHONE FAX I'N'ITIALS <br />NO RE=VIEW DATE <br />