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03-11-03 09:02am From-ENVIRON RELE 5106559517 • T-500 P 02/02 F-391 <br /> T ��NSLAAN JOAQUIN COUNTYPUBLIC HEALTH SE,.VICES _ <br /> ENVIRONMENTAL HEALTH DIVISION <br /> MAR 1 1 2003 304 EAST WEBER AVENUE:,THIRD FLOOR Q <br /> STOCKTON CA 95202 I o <br /> ENVIRONMENT HEALTH (los)463-3420 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION _ <br /> APP 1CANrp7 11 Irr�r !-1St �•ie_ 8USINF$G1AGFNCY F�1y 12c71�7 Cc �fC�✓\_ <br /> ADOREss ull�/� �1-cl GO ��b � ! C� C {K�> <br /> HONE ��� CJ� L{aC7 JC J� FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> (Please give 7 to tC business days from dete of application submittal) /„� <br /> © CHECK BOX TO EXPEDITE REQUEST-$09,00 FEE-REQUEST PROCESS � I ! <br /> -SIGNATURE OF APPLICANT ATE: <br /> FILE ADDRESS THIS SIDE : D STAFF USE ONLY <br /> PROGRAM ELE)AENTS SEARCH O <br /> v 30� t�r•tV\ 1Javof'�e. d,S-tCck 52i <br /> { g L{ 1C, 7e f3tCA- <br /> 1AAK 2003 <br /> E�E_i_ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> DERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT rYsouD WASTE FACILITY <br /> OER CLEANUP 317E(NON-LOP) ❑ FOOD FACILITY C) sOLID WASTE.1,EHICLF <br /> @�ONDERGROUND TANK(MONrrORING/REM OVAL) d DOG KENNEL ❑ DAIWY <br /> M-6ZARCOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKC,TREAT11113PIT PLANT <br /> MITERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRIICIUYARDlCHFsM TOILETS <br /> 4173 TATTOQrUODY PEIRCING 0 POOUSPA ❑ uw0 USE APPI.ICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ a Q OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses In the space above. Select the type(s) of files from the list above by cheoking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209) 4f4A138 or mail to thr_ <br /> addreessgindica(ed above. <br /> 2. EHD will notify the applicant If any END files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10)days after rerxipt of;application. The files <br /> will be held for a maximum of five business days for review. Appointments shCuld 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 EH[) 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 /> 5. 'TENTATIVE_appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will he processed the next business day. <br /> Post•IY Fax Note 7671 D ” Le:03 P 9aa� I <br /> CONFIRMED APPOINTMENT DATE T3 CO F. . Z <br /> DATE CONFIRMED RHO. G> <br /> REVIEWED VES NO Fak" 510)G 55 951 F_ a I' 3 <br />