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• IQUO'L%UUZ <br /> 05/'07/2003 06:50 FAX 209 9480621 <br /> 1F LOG HLM-i <br /> �TE RECUVED <br /> E SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> � ii__ <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE THIRD FLOOR I . <br /> MAY 0 7 2003 sr(209)46CA <br /> 34z0Zo2 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> n, <br /> r- <br /> APPLICANT- <br /> ADDRESS �,l M-F.. Sr Sin <br /> r lyl�l _rte 9 S 7 G <br /> FACSIMILE 2 <br /> PHONE 2.��4 N�" 13Kr - <br /> TENTATIVE`APPOINTMENT DATE TIME <br /> (Please glee 7 to 10 "11166`6-s"ys from data of apPUpt1W sub'tta) <br /> CHECK BOX TO EXPEDITE REQUEST- .00 -REQUEST P SIA IN 3 BUSINESS DAYS UX <br /> _ DAT= <br /> SIGNATURE OF APPLICANT <br /> FILE ADDRESS THIS RA EL STAFFS$£ONLY <br /> PROGRCM L"LEW'cM5 SEARCH <br /> 5T^o I 0 D <br /> (e I z C!>iusiu7.! v N p <br /> t33--1 — L H 4 <br /> ago w • t�•Er�,a— S - " p > <br /> T1 3o AJt WiD c'� <br /> O <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ❑ HOUSING ABATEMENT IST sOIIO WASTE FACILITY <br /> UNDERGROUND TANK NST/CLEANUP sITE(LOP) EI FOOD FA'aLfiY E2 501-10 WAS TE VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) LI DOG KENNEL 69 DA'RY <br /> �UNDERGROUND TANK(MONITORINGMEMOVAL) ❑ CHRANCH a PKi3 TZFATMEIR PLANT <br /> CHICKEN HAZARDOUS WASTE GENERATOR ❑ MOICKEN RAL [3PU�IIPeRTI'..UCKYARDICHEBSTOU.ETS <br /> TIERED PERMITTED FACILITY pikgi 'LA:,o USEAPPLICATIONSTTES <br /> O TATTOOIBODY FORCING t❑ PUBLK yfASFii SYSYEAI ❑ OTHER(PLPJISE SPECIFY ABOVE) <br /> 13 MEDICAL WASTE FACILITY <br /> of files from th•T list above by checking <br /> 1. List up to tan addresses In'the a space above. gelect MUSThe be selected. Fax to :.09 464-0 38 or mail to the <br /> tha appropriate box(es), At least one file type ��—'Sm <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appoinim aftent �ref eel et of.al bimcat oo TThe files <br /> approximate) five business days but no later than ten(10)days iter rF:nts sh ould li scheduled <br /> will be held for a maximum of five business days for review. App <br /> accordingly. <br /> 3. A file that IS actively being worked on by EHD staff may not be Immediately avtllabie for review. A new <br /> application may be submitted when the file Is available. at.the ense <br /> 4 Any <br /> f thele not returned In the same condition as applicant. Future file reviews y the same applicant may require a 587.00 deposwill be reorganized by�.HD it prior t Xreview. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHO 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 /> vee / .l., oe�new nnrc �IC�CCP� fn I.�J�1 ��CS II,qq <br /> na.nOc,.,c^ �i1554�JO ro/A/7/'� <br /> �IS-Ib tV3(:Klolatt,Mn IF Vi LT"Wda' S' 10`.594 ' <br />