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DATIL OV E D FklD LOG NUMBER <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> SEP 2 2 2O0O ENVIRONMENTAL HEALTH DIVISION <br /> � ���"" 304 FAST YYERER AVENUE, THIRD FLOOR <br /> ENVIRONMENT HEALTt-tt1' STOCKTON CA 95202 <br /> PERMIT/SERVICES . (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT .•C• Ctct u o�d _HUSINESSIAGENCY <br /> ADDRESS <br /> PHONE FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE L c L?-?/00 _ TIME 1 0`00 <br /> (Please give 7 to 10 Lusine6:,days from date of application submittal) <br /> �-+ CHECK BOX TO EKPEDITL•REQUEST- 8T. f E1_ 'QUEST ROC - IH 3 BUSINESS DAYS <br /> SIGI+IATURIw OF APPLICANT � DATE <br /> FILE ADDKF" THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> l F2a�-i <br /> Qrl psc a I E 0 _ F 12 <br /> ft <br /> 25 <br /> l r� oma 2— <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) X HOUSING ABATEMENT -g SOLID WASTE FACILITY <br /> OTHER CLEAKUP SITE(NON-LDP) o rOOD f=AGILfTY 13 SOLID WASTE VFHZCLE <br /> j UNDERGROUND TANTS(MONMORINGIREMOVAL) 0 DOG KENNEL ❑ DAIRY <br /> .`r HAZARDOUS WASTE GENERATOR 11 CRICKF-N RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TILRED PERMITTED FAClUTY ❑ MOTEUMOTEL 0 PUMPER TRUCKlYARDICHEM T01LE-TS <br /> ❑ TATT001BODY PEIRCING 0 POOLlSPAA - Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTC FACILITY CI PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresbes in the space above. Select the type(s) of tiles frorn the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 ar m4II to the <br /> address In icated 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 atter 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 fila: that is actively being worked on by EHQ staff may net be Immediately available for review. A new <br /> application may be sulsmltted when the file is available. <br /> 4. Any file not returned in the same condition as released will be recurganlzed by EHD staff at the expense <br /> of the appllcant, Future fila reviews by the same applicant may require a$87.00 deposit prior to review. <br /> 5, "VENTATIVE appointment dates must be conflrmod with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business clay. <br /> CONFIRMED APPOINTMENT L)A-rE TIME <br /> DATE CONF[RMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EH 00 14 GM7109 -- <br /> 7011 FA <br />