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FROM : NOA Environ,„ t.al0 . PHONE NO. : 209 369 4228 � <br /> Sun. o 1� 2000 07: <br /> -� uAieRcl:aww <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES OW LU4 NUM6lN ” x� <br /> vx�c <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 3G4 EAST WEBER AVENUE,THIRD FLOOR Zi ° � <br /> STOCKTON CA 95202 `0 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION 1 <br /> APPLICANT 'T I'FF' t�T l M - PINY BUS1NE551AGENCY_ W L i L 0- A-N V VW-p <br /> ADDRESS �'� N. }-1-D V 5.1't>rs �.PYt..,E lA'1� t CA ', o •"""'' <br /> PHONE_ 40'1 - 3lOCP — a�ol'�j FACSIMILE 442-7.8 n r <br /> TENTATIVE*APPOINTMENT DATE I TIME ( N r—A _# <br /> (Please give 7 to 10 business days from date of application SubmhUl)In 1C/rJUL <br /> CHECK BOX TO EXPEDITE REQUEST.$78.00 FEE—REQUEST PROCESSED IN 3 S SWSSS DA SZ <br /> SIGNATURE OF APPLICANT 1) iK_o— DATE to f 12-10-0 <br /> FI DRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> a38Cl a <br /> r arse 1i1 2CJ E i.A r <br /> • <br /> 00 <br /> nn <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(USTI CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID <br /> WASTE FACT <br /> OTHER CLEANUP SITE(MON-LOP) ❑ OG FFACILITY ❑ SOLID WASTE VEHI <br /> UNDERGROUND TANK(ASONrrORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY " IUIU'IUlillr <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> a TIERED PERMrfTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKfYARDICHE1d7�]1 TS7 <br /> O TATrooiaoDY PEIRCING O POOLISPA ❑ LAND USE APPLICATION SITES' vI r 1 Q 2o[❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY ASOVE1 <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate bOX(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the, <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD fifes exist. An appointment for review will 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 i3 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 the same applicant may require a $78.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 0. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE COWRTAF-D PHONE FAX INITI6IS <br /> REVIEWED YE5 NO 12Gvkmw DA_rr <br />