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SEP -06-2003 01:57 AN <br />09/05/2003 11:48 4E� ENVIROMIENTAL MW <br />'D I' ,i�PIILiI SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />SEP 0 5 2003 304 E Weber Ave 3d Floor Stockton, CA 95205 <br />(209) 469.3420 Fax: (109) 464-0138 Web: www.co.san-jo&qu`1n.ca,m/cI`­' <br />MIRUNMEN-i HEALTH <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: <br />AnORESS: <br />PHONE _C "t� <br />P.01 ' <br />PACF_ t 2 <br />CHO LOO NLM tER <br />1q7; <br />TENTATIVE* APPOINTMENT DATC: Timm ! . <br />(Plea$& dlavw 10 bualaesa days from date o1 eppllwtlon 1ubm11111) <br />❑ CHr DK BOX TO ExpEOITa pi EST. U2.00 FES -REQUEST PROCa33E0 IN :0U a INEse DAYS <br />SIGNATURE OF APPLICANT <br />DATE <br />e n HA <br />!!INIIMI"•'�ll�rtil�rrlll� <br />y <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />ry <br />DepaKmenl Use OnN <br />UNIT <br />O Unit t <br />nit <br />Unit 4 j <br />❑ <br />Unit 5 <br />IJNDeROROUNO TANK(USTj CLEANUP✓11TE(LOP) d HOUSING AEATEMENT C BOLIDWAMFACRJTY <br />bbb OTHER CLEANUP SITE (NON -LOP; O FOOD FACILITY C SOLID WAIITE VEHICLE <br />UNOkR01tOUN0 TANK(MONrfOwNWREMOVAL) C Doo KSNNLL C DAIRY <br />pOUS WARTS GENERATOR 0 OHICKIN RANCH 0 PKD TRlATMXNT PLANT IN <br />C3 T1ER60 Pa1WnTlD FACILITY ❑ MonLJHOTEL ❑ rumPSTRUCKIYAROICMFY T04Ero <br />0 rATrO =oY PIEROINo ❑ PCOLMPA PLF�ec BPacV1'L,,.,,.�r�ll',OU EAPPLICATIQy� �- <br />❑ MEDICAL WASTE PACIL(TY _ J C2tiF' d� <br />T, LI3t up to ton addressee In the Space above. Select the type(%) of flies from the llat &boys by checking <br />the appropttate box(ee). At least one file typo MUST be selected. Fix 10 (2081484 01___ 96 small to tlu <br />"'ll notl t ithe s vConfirmed <br />l be <br />2 approximately five business days but tpPllcsrft if any po later than ten (110) day$ aftefile$ axial. An appointment rrecslpt o Sr review I <br />1ppll tion. The hies <br />will be hold for s maximurn of five bueiness days for ravlew• Appointments should be scheduled <br />accordingly. <br />3. A file that Is actively being worked on by EHO Staff may not be Immedlstely avallabla for review. A new <br />appilcatlon tray be submitted when the filo is available. <br />4. Any file not returned in the same eonditlon as released will be reorganized by EHO staff it the expense <br />of the applicant, Future file reviews by the same epplicanl may require a $93.00 deposit prior to rV116W. <br />5, 'TENTATIVE appointment dates must be confirmed with EHD staff. <br />E, gpplicStloi recslved after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE _ TIME <br />DATE CON FIRM ED PHONE FAX INITIALS <br />REVIEWED YES NO <br />REVIEW DATE <br />11 Ill I EII01'If 1111111tl11tl11f1111I671Ef1BtilE111111111 ' 111111 I'll 11 1 <br />