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u`illr: i11 '% <br /> �=J <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES 411VluuNUMUnLN�/ <br /> MAR 2 ? 2001 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR `Y. V`✓✓✓ <br /> ENViROftiMEN I HEALTH STOCKTON CA 05202 XCX` <br /> PERMIT/ ES (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> L2-527 B <br /> s� UPS ) LUSINESSIAGENCY Wdt (14 I.CU� X10(_/4 g�w <br /> RESS J o <br /> u r�f S 9r6q� <br /> PHONE (llbv1.7 3 7d�— / 7 — <br /> Y FACSIMILE / !�— 9 0 6S <br /> TP ITAT1VE•APPOINTMENT DATE 3—d' —01 TIME g%3a <br /> (Please Give 7 1010 businoss days from date of application sllbMilial) <br /> CHECK BCt)C TO EXp ED(TE REQUEST-57 GFEE— RU EST PROCESSED IN 3 BUSINESS DAYS L. kfAR 21 I <br /> SIGNATURE OF APPLICANT DATE 3- 1,1_p� <br /> FILE ADDRESS THIS SIDE EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> � r�. <br /> 3 11 <br /> E <br /> 3 0 ,w ,t [R^ <br /> uppm <br /> � D <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> �-a UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ IfOUSING ABATEMENT X SOLID WASTE FACILITY <br /> j$ OTHER CLEANUP SITE((ION LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> }Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ 000 KENNEL ❑ DAIRY <br /> X HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH C3 PKG TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> O TATTOOMODY PEIRCING ❑ POOLJSPA -1 <br /> ❑ LANG USEAPPLICATION SITES <br /> 13 MEDICAL WASTE FACILITYC7 PUBLIC WATER SYSTEM 12 OTHER(PLEASE SPECIFYABOVE) <br /> 1. List up to ten addresses In the space above. Select the types)of files from the list above by checking <br /> theappropriate box(es). At least one file type MUST be selected. Fax to (log)464-0138 or qgi(to the <br /> add=? <br /> above <br /> 2.1 EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but-no tater 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 net be immediately available far review. Anew <br /> application maybe submitted when the file Is available: <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by toe same applicant may require a§67-00deposit 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 /> ---------------------------- <br /> DATE CONFIRMED PHONE FAX <br /> INITIALS <br /> REVIEWED <br /> eH DO-14 ,oemrmo . YES NO REVIEW DATE <br /> 7001A T111131-DOUTTVA 9906 atr 9T6 TVA rs:tn ra/Tzir.n <br />