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08//00�7p/03 TIIU 16:39 FAX 916 366 7013 KLEINFELDER WJ 00.j <br /> EHD LOO NU619E0. <br /> ,I! SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> r',UG 0 7 2003 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)4683420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT iis' viA, C uv�\ BUSINESS/AGENCYy..Q,k.l W6tt_,q t <br /> ADDRESSZO-7fik C q g602- 1 <br /> PHONE"CRD (P Yo FACSIMILE_ <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> (Please gIva 7 to 10 business days from date of appllcatlon submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE-REO ST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ( �iU,I��hb Oma- -- DATE `O� <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> 1 1^ �1 n PROGRAM ELEMENTS SEARCH O <br /> 35 a 1 a *C', c- <br /> 1 1051 , bt1JA n Ip V <br /> v 1385 5. <br /> V 5 AUJOYL KA 14 <br /> —� <br /> RUM LIMLL2 U 61 <br /> pQ <br /> ENVIRONMENTAL HEALTH DIVISION FILES AUG 2 0 2003 <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) �toiOUSING ABATEMENT $SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL R2l' DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH / PKG TREATMENT PLANT <br /> Cl TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> Cl TATTOOIBODY PEIRCING ❑ POOL/SPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> address 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 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 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 applicant. Future file reviews by the same applicant may require a$89.00 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 APPOINTMENT DATE ` .TIME <br /> DATE CONFIRMED PHONE., IFAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> END 664:006 <br /> =W003 <br />