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Jul 03 03 05: 03p P. 1 <br /> vf/vJ/2UO3 12:33 4640138 ENVIRONMENTAL HEALII-( PAGE 01 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT 02 <br /> _ 304 EAST WE AVENUE,THIRD FLOOR /�/ <br /> ., STOCKCKTON CA 95202 <br /> 200J _ )4611-3420 <br /> PUBLIC RECORDS JRELEASE APPLICA• ION <br /> APPUGAtit4 ��,�s�e.I5►i tyflail BUSINM4AGENCY 1,)���YA _— <br /> f AODREss (( nlN'. �(qQC7t�� cCi.l.'r+i I 1. . <br /> PHONE 19��- N3 D`TT FACSIMILc � <br /> TENTATIVE'APPOINTMENT DATE <br /> \(� (Please give 7 to 10 business a rya from dab rd application suhmi iW,,. <br /> CHECK BOX TO EXPEDITE REQUEST-380.00 FEE-REQUES T PPOCESSED IND BUSINESS DAYS N"' 1� '� J •.rill <br /> -*-SIGNATURE OF APPLICANT DATI <br /> FILE ADDRESSTNLti SIDE 151,11)STAFF USE ONLY <br /> PROORA1F ELEMErn3 DEARCH <br /> )03 <br /> r <br /> 1 <br /> U <br /> ENVIRONMENTAL IIEALTH DIVISION FILES [' \ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOPI O HOUSING ABATEMe1rr 0 SOLE,WASTI9 FACIIJIY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD F AGILITY Cl SOLI'i WASTE VENIOI.a <br /> y� O UNDERGROUND TANK(NONITORINGMEMOVAL) ❑ DOG KT:NNEL U DAIRI' <br /> R� HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 PKG IRI'ATMI:NT PUINT <br /> D TIERED PERMITTED FACILITY NOTELIMOTIeL O PUMPFFTRUCKfY, VWCHEe1 TO%LETS (� ` <br /> O TATTOO/BOOY PEIRCING 0 POOLMIA O UNG USE APPLICATION SITES J�JJ�J1 <br /> 0 MEDICAL WASTE FACILITY 0 OTHER,;PLEASE SPECIFY) .__. <br /> 1. List up to tan addresses in the space above. Select the typ s)or files from the li 0t above by cheolUng <br /> the appropriate box(es). At least one rile type-MUST be selected. E_qx to 12 0-9�L46I_0J38.or I tlto the <br /> address indicated above. <br /> 2. END will notify the applicant If any END files oxist- An appointment for reirlaw wi I be oonrtlTned <br /> approximately£rve business days but no later than tan (10)days after receipt of a pplicallon. The files <br /> will be held fora maximum of five business days for review. Appointmants!:hou d be schedufed <br /> accordingly. <br /> 3. A file that is actively being worked on by END staff may not be immediately availsbie for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the some condition as released will be reorganized by EH 3 staff at the expenso <br /> of ttte appl-(cant. Future file reviews by the came applicant may require a 41511.OG F2pusll prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with END staff. <br /> 6. Applications received after 3:00 pm will he processed the next business day- <br /> CONFIRMED APPOINTME14T DATE TIME <br /> DATE CONFIRMED PIIIONE FAX INITIALS <br /> REVIEWED r YES NO REVIEIM DATE <br /> arca u+»er <br /> menoo> <br />