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Mar . 10 . 2003 4:49PM CMPIEARTH TECHNOLOGIES N1 .3039 P . 1/1 <br /> v� 'Ho LOG NUMMR <br /> PAYE�jC �.�_, I �. <br /> r��11::_;�� II��I�_ I�,�AN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> MAR 1'0 2003 3D4 FAST WEBER AVENUE,THIRA FLOOR <br /> STOCKTON CA 95202 I` o <br /> i-wNMENT HEALTH (209) 468-3420 <br /> PERMIT/SERVICES PUBLI_C- tRECORDS RELEASE APPLICATION <br /> APPLICANT,_„__,.; ¢ •Y-Pac .-ISUSINESSIAGENC/Y�CG'Jt' ,JAGY+'('�G�.r— i� '�nU ) <br /> ADDRESS ,�� ���� �rc,..._.--lel —� l `T>✓1- __. ____ <br /> PHONE FACSIMILE <br /> TENTATN£'APPOINTMENT DATE Ig "aecj" O z <br /> (Pieria glue Y to 10 buainess days tram dais of rppllcation aulxnlltan' <br /> El CHECK BOX TO EXPEDITE REQUEST-S87.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAY{1` /� ��A ' 3 ' <br /> SIGNATURE OF APPLICANT DATE <br /> RLE ADDRESS THIS SIDE EHD STA--F USE ONLY <br /> PROGRAM ELEMENTS SEARCH - <br /> IsP -- <br /> I - <br /> Oo <br /> �15C70 . <br /> i — <br /> I 'f 0 VIA [f] - <br /> f 5�0o S. Ian — v r,R 3 _ <br /> N <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) LI HOUSING ABATCIL <br /> ABATEMENT SOLID SOLID WASTE FAITY <br /> OTHER CLEANUP SITE(NON-LOP) 11 FOOD FACILITY ID's SOUL)WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 PKG TRrATMENT PLANT <br /> y4 TIERED PERmn TED FACILITY ❑ MOTELfHOTEL 12 PUMPr.R TRUCK/YARDICHEM TOILETS <br /> ❑ TATTOO(SODYPEI2CING ❑ POOUSPA ❑ LAND USE APPLA ATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM n OTHER(PLEASE::iPECLFYAAOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files frorn the IN t above by Checking <br /> the appropriate box(es). At least one file type MUST be selected. Fa to 209 40Z_Q'tA or maiI-! the <br /> address Indicated above_ <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review wil I 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 EHL)staff at the expense <br /> of the applicant. 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 /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME __ <br />