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10/30/2002 14:21 464011 <br /> ENVIROIA•EhTTAL HEAL„Y PAGE 01 <br /> Elmt uuunG4 <br /> V SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> C 0 ENVIRONMENTAL HEALTH DIVISiON RE Ll 7 304 EAST WEBER AVENUE,THIRD FLOOR 1 <br /> STOCKTON CA 95202 <br /> (209)439-3420 NOV 0 1 2002 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> TH <br /> •-��� l'� /- <br /> APPLICANT InNI �LAfC _BUSINESSIAGENCY I IfE ✓Yf��'I L7 �C+ES <br /> ADDRESS,2Z55 HP-.ft Lee 17C t'1EZaucLG <br /> PHONE,_./ (Cc12 Jo233 3 FA�SMILE �'�-C� 6 J ! — �'✓Q.�J 1, <br /> TENTATIVE*APPOVITMEHTDATE o �Z <br /> 7 TIME /%� � A'M. <br /> (Please Alva Tic 101imIn ss da s from dale of■ppllcallon subm0lee /U(i.v. 5,zee)2— <br /> ��j w � <br /> CHECK BOX TO EXPEDITE REQ I�EST-T�q$� -E EOUESTf 0 S":3+3 ' <br /> SIGNATURE OF APPLICAN 'L—\1f_u' /i;��.� 51A9F- A7131 OL- <br /> FILE ADDRESS THIS SIDE EHO STAFF Use ONLY O <br /> PROGRAM ELEMENTS SEARCH <br /> _ o True(c <br /> are <br /> �. (PON QON N16L1>`C 1 <br /> N L LC cF-cw tnC 6�>•2. G •tt <br /> •.. ; .� ,ate'%IT � - �rrn e— <br /> NttXi5 T i/ <br /> ENVIRONMENTAL HEALTH DIVISION FILES NOV 12 2002 <br /> yA,�( UNDERGROUND TANK(UST)CLEANUP srTE(LOP) 0 HOUSING ABATEMENT O SOLID WASTE FACILITY _ <br /> 9 OTHER CLEANUP SITE NON-LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> Ja UNDERGROUND TANK(MDNITORING)REMOVAL) 0 COG KENNEL 0 DAIRY <br /> O HAZARDOUS WASTE GENERATOR D CHICKEN RANCH 0 PKO TREATMENT PLANT <br /> 0 TIERED PERMI TED FACILITY 0 MOTEUHOTEL 0 PUMPER TRUCK/YARDICHEM TOI.ETS <br /> 0 TATTOOIBODY PEIRCING 0 POOUSPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 PUBLIC WATER STSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to tan addresses In the space above. Select the type(s)of files from the list above by chocking <br /> the appropriate 4ox(es). Al least one Tile type MUST be selected. Fax to(2091464-0139 or mall to the <br /> address Indicated above <br /> 2. EHD will notify the applicant if any EHO rifles exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ton(10)days after receipt of application_ The files <br /> will bo held for a maximum of five business days for review. Appointments should be scheduled <br /> ' accordingly. <br /> 3. A file lhat,is actively bbing worked on by EHD staff may not be immediately available for review. A now <br /> application may be submitted when the file Is available. . <br /> 4. Any file not rolurnod In the same condition as reloasad will be reorganized by EHD staff at the expense <br /> - of the applicant Future fila reviews by the same applicant may require a$99.00 deposit prior to review. <br /> S. 'TENTATIVE,appointment datos.must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business cloy. <br /> CONFIRMED APPOINTMENT DATE, TIME. <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> RIEV1EWED YES NO REVIEW DATE <br /> i d dLb :50 20 16 400 <br />