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05i�7/2003 06:50 F?% 209 9480621 Z 002/002 <br /> v � 1H LOG NUref.R <br /> GATE REC m _ <br /> off "I• �,�,'' SAN JOAQUIN COUNTYPUBLIC HEALTH SERY ICES <br /> - - ENVIRONMENTAL, HEALTH DIVISION I <br /> 304 EAST WEBER OCKTO CA 9 THIRD FLOOR <br /> MAY 0 7 2003 STOGKTONCA95202 <br /> (209)468-3420 1 "7 <br /> T -,'--"" PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT BUSINESSIAGENCY <br /> ADORES$ r , S 9 Z O `-- <br /> PHONE 2�' -`�`'1�' l3`4 FACSIMILE 20 9 4 H S' O6 L f <br /> / <br /> TENTATIVE-APPOINTMENT DATE SI(-+ o:s TIME -L-71!-0L) <br /> (Please ul�T to 10 U Iness days GOm data Of OPP--su-mda1 <br /> CHECK BOX TO EXPEDITE REQUEST- .00 -REQUEST P SED IN 3 BUSINESS DA'fS UX ,# 3. <br /> � <br /> SIGNATURE OF APPLICANT DAT= <br /> PILE ADDRESS THIS SIDE:EI-lo STAFF U5E ONLY <br /> PROGRAM ELEM EMS SEARCH i <br /> 6 I z CIAii-t tTro-] v STD I 0 D <br /> 1 1. ■% lI N 7 <br /> 4 <br /> aro w . rriFytS <br /> e <br /> t c A Jt nn <br /> ENVIRONMENTAL Hf-ALTH DIVISION FILES <br /> ❑ HOUSING ABATEMENT ID SOLID WASTE FACILITY <br /> IUNDERGROUND TANK(NCLEANUP SITE(LOP) ❑ FOOD FACILITY ES SOLID WAS rE VEHICLE <br /> IX <br /> � OTHER CLEANUP SITE(NONON�_OP) ❑ DOG KENNEL 19 DART• <br /> IX UNDERGROUND TANK(MONTrORINGrREMOVAL) ❑ CHICKECHICKEN RAEICH M pK,3 TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR a 10TEL ❑ pUttlp ERTP.UCK/YAP.DICHFAm IL <br /> TOETS <br /> TIERED PERMITTED FACILITY (JueD USE APPLICATION SITES <br /> IMTATTOQMOOY PEIRCUiG ❑ pBU YATFR SYSIEM O OTi',pu;(pL7:1,5E SPECIFY AriOVE1 <br /> 13 MEDICAL WASTE FACILITY PL <br /> 1. List up to tan addresses In the space above. Select the type(s) of files from th�T fist above by checking <br /> tha appropriate box{es). At least one file type MUST be selected. Fax tc!1=09 464-0138 or mail to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for reiriew Will be confirmed. <br /> approximately five business days but no later than ten(10)days after rF;eipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments sh Duld be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately avallable for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned In the same condition as released will he reorganized by wHD staff at,the expense <br /> of the applicant. Future file reviews by the same applicant may require a587.10 deposit 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 /> DATE CONFIRMED PHONE FAX INITIALS <br /> mor�ncurcn vcc .�., t2 e l- .. nncw nnr� I _A aP; VCS- I),yq m <br /> -03; eef} �he�tayLfo w r�nalJore acurC tv: 5�a�v) — � ctl�ell I� <br /> �b-IbO3`. 1o1drLmn IF w tl LT "IDLW5-lo-s94'I"1 <br />