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D ( r.:-,Geo-Phase Envirn rnantal Inc. FAX NO. : 2095690295 Mr. 05 2001 12:56Ph1 P2 <br /> l..j `(('�I CEJ'G tliy LVG HUNefH <br /> - SAN JCa.hlUlN COUNTYPUB!_lC HEALTH SE?PGICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> MAR 0 5 Z001 304 FAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> ENPEin,— ;`. y , (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLIQ r�FIUSINESS/AGENCY t.-eo j0AIFSe <br /> *) S69 �rCL FACSIMILE 4 9042905— <br /> TENTATIVE'APPOI NrMENT DATE TIME E <br /> (Please give 7 to EO business days from date of application submiltat) <br /> CHECK 80X TO EXPEDITE REQUEST.�yeC'00 FEE-REQUEST PROCESS Eb 1 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Y <br /> RATE <br /> • <br /> FILE ADDRESS <br /> IFF O Cma s -sa4 T� rc .« r O <br /> 3 <br /> Zoo <br /> l? <br /> _ rvrr �' <br /> r <br /> ENVIRONMENTAL HEALTH DIVISION FILES Q F000 FACILITY 0 7 <br /> 9 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING A8A7EM£NT ❑ SOLID WASTE FACILITY MAR -7 2001 <br /> 12 OTHER CLEANUP 517E[NON-LOP) <br /> ak UNDERGROUND TANK(MON(TORINGlRFMOVAL) 4 DOG KENNEL SOLID WASTE VEHICLE <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ DAIRY <br /> CHI <br /> ❑ TIERED PERMITTED FACILITY CKEN RANCH E3PKG TREATMENT PLANT <br /> ❑ <br /> ❑ TATTOOfBODY PEIRCIN43 MOTELIHOTEL O PUMPER TRUCKrYARDICHEM TOILETS <br /> 0MEDICAL WASTE FACILITY ❑ POOL/SPA ❑ LAND USE APPLICATION SITES <br /> ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST he selected. Fax to (2091464-01 38 or mail to the <br /> address indicated above —e <br /> 2. EHD will notify the applicant if any EHD files 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 is available. <br /> 4. Any file not returned in the some 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 578.00 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will berocessed the e naxt business day. <br /> CONFIRMED APPOINTMENT DATE TIME w <br /> DATE CONFIRMED PHONE FAX -.`—'_-- <br /> tNiT1ALS <br /> REVIEWED <br /> En no I� otn's�oo YES - NO REVIEW DATE <br />