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.gip-11-03 13:43 From-TTI TETRA 71 W INC +9168520307 T-507 PA2/03 F-803 <br /> II��\ � <br /> \VV1 �/1 �AN JOAQUIN COUNTYPUB! IC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> SEP 1 1 2003 3124 EAST WEBER AVENUE,TMIRD FLOOR <br /> STOCKTON CA 95202 <br /> ENVIRONMENT HEALTH (209) 468-3420 <br /> RMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> rdv. h SAfsa�ua9 h T� M1 <br /> APPt.ICANT BUSINESSIAGENCY ( -R& <br /> rl <br /> ADDRESS IOr!O Q0 h ltC 0 too Ta^'� o ( ro!ouuv<r Gfh' 9.Sry; <br /> PHONE �� vJ �— '�'S�O FA <br /> CSIMILE �i Lo i d 30:7 <br /> TENTATIVE"APPOINTMENT DATE ` TIME ftrn i <br /> (PIOLISc give 7 L010 ousinc5s o-iYsjj4n Cato of appliCQL;=G=rnival) ' f <br /> A k <br /> CHECK BOX TO EXPEOrre'nEQUE 587.00 FEE-RE ST PROCESSED INN 3 BUSINESS DAYS `-., 1 • 1� J�,�,rCJ� <br /> SIGNATURE OFAPPLICAN, a o� DATE <br /> F LE ADDRESS THIS SIDE RHO STAFF(ISE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> if OY7 <br /> a <br /> r' re <br /> s <br /> SEP 15a <br /> ENviRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK JUST)CLEANUP SITE(LOP) ❑ 1-IOU51NG ABATEMENT SOLID WATNAGI9 <br /> OTHER CLEANUP SITE(NON-LOP) Q FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK tMON[iTORING/REMOVAL) ❑ DOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH O'PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACIL7fN CI MOTEUHDTEL ❑ PUMPERTRUCKIYARDICHEMT0ILET: <br /> ❑ TATTOQIBQDY PEIRCING ❑ POOt/5PA -- ❑ L.ANO USE APPLICATIQN SrTES <br /> ❑ MEDICAL WASTE FACILITY 1 Q PUBLIC WATER SYSTEM Q OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list.above by checkil <br /> the appropriate dox(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to th y� <br /> egress indicatetl above. - n <br /> 2. EHD will notify tt a applicant if any EMD files exist An appointment for review will be confirmed <br /> Approximately five business days but no later than ten (10) days after receipt Qf application. The file <br /> will be held for almaximum of five business days for review. Appointments should'be scheduled <br /> accordingly. <br /> 3. A file that is actively Doing worked on by EHD staff may not be immediately available for review. A n <br /> application may pe 5ubmitteU when the file is availaple. <br /> 4. Any file not returneo in the same condition as released will be reorganized Dy EHD staff at the expen <br /> of the applicant. Future file reviews by the same applicant may require a $1I deposit prior to revi, <br /> S. •TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications recelved after 3:00 pm will be processed the next pusiness day. <br /> CONFIRMIwD APPOINTMENT DATE TIME <br /> DATE. CONFIRMED PHONE FAX INITIALS <br /> Dc�nc�nrgn rj .•� ------ <br />