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Jun 06 03 05:r2Spn Hanover Inc 530 342' 2050 p. 1 <br /> JUN 0 9 2003 <br /> FNVN'J NMENT HEALTH SAN JOAOUIN COUNTY JL^/ /V�/`/ <br /> pFRi�11TfSERVICE$ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEtlER AVENUE,THIRD FLOOR <br /> 2, <br /> STOCKTco CA 95202 <br /> (209),M-3420 <br /> •// /- <br /> PUB <br /> LI <br /> C RECORDS RELEASE APPLICATION <br /> CAPPLICANT l c !�f-'f YL�.'"'6NESyP c[NCr _—Y- •.�—._ <br /> fit• Aooluss •— <br /> 'a ^jam �--� to �, <br /> PHONE �1 / U.3 TIME <br /> FACSIM//I£_— <br /> -/6 " <br /> TENTATIVE'APPOINTMENT DATE V - 1•— _) <br /> ,j� (PIse6.Five 7 to 10 eWfYaSs err.hae drte of appllcAGpn s,b�roiq <br /> yF <br /> CHECK cox TU El(P6DIre Rti T .00 FEE-NEUU '1 PROLE ED <br /> I a buSlNEss DAY <br /> 71 <br /> '*SIGNATUREOF APPLICANT D,NTE <br /> THI3 4 W t I'-XCr STAT M UOG{NVLY <br /> PILE ADORE53 PROORAe EL EMEA T3 SEARCH <br /> -01 <br /> ) - - — c) <br /> N <br /> ENVIRONMENTAL AEALTH DIVISION FILES <br /> UNDERGROUND TANK(DST)CLEANUP SITE(LOP) 0 HOUSHIG ABATEMENT EI 30LID 111ASTI f FACILITY 1 v <br /> OTHER CLEANUP SITE(MON-LOP) 0 FOOD I'ACILTTY E) SOL 10 VIA311:V&%C.I-F_ <br /> syr, UNDERGROUND TANK(MOMTORINGIREMOVAL.) 0 DOG K::NNEL ❑ DNIIY <br /> T HAZARDOUS WAST[CPKERATOR 0 CMCKEN RANCH O PKC TNT:ATII IW7 PLANY <br /> 0 IE <br /> TRED PERMITTED FACILITY 0 HOTEI.MOTEL Cl PUMOI <br /> PER TRLCKrYARDJCIIEM TOILETS <br /> O TATTOOIRODY PEIRCING (3 POOV:IPA G LAHTI USC AT PIO <br /> LICATNSITES <br /> 0 MEDICAL WASTE FACKM 0 OTMEr ( 9ASE 3PEV* -. <br /> 1. Li3t up to ten addressor In the spaCO above. Select the type(S)of files fnxT,the list above by checking <br /> the appropriate box(os). At least one,file lyes MUST be selected. Fax to.Rlmv 4 +L111 or mail to the <br /> ad4re55 Ird ted above. <br /> 2. EMD will notify MM applicant if any EHD filer, exist. An appointment;(or invllew if rill bo'"lYrmed <br /> approximately fMe busMe33 days but no later than ten(10)days aver re:sipt cd;rppl'icabon. Thr,files• <br /> Will behold for a maximum of five business days for review. Appointmolds should be schaduLed <br /> accordingly. <br /> 3. A file that is actively belnfi Worked on by ELI D Staff may not be ImmediahN)r aya lalble PDr review, Anew <br /> application may be submitted when tho flte's available. <br /> 4. Any file not reh+fned in the same oondit(on ns released will be reorganised by IE I19) abif(at the oxiterne <br /> of the applicant. Future file reviews by the same applicant may require.t$119.01 dLgrm%lt prior to revklw. <br /> 5. 'TENTATIVE appointment dates must be eo+firmed wttn END staff. <br /> 6. Applications received after 3:00 pm will be processed the next businesr+ dry. <br /> CONFIRMED APPOINTa1ENT DATE TIME -- ------------ <br /> DATE CONFIRMED PHONE FAX IINITI'MI.S <br /> REVIEWED YES NO REVIEW DATE <br /> uo•wimi <br /> La•pwa <br /> TO 39tld Hl-PV3H -1V-LN3WNC1zlf/V•3 b97 ^c:91 E02T,/SO/90 <br />