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i <br /> AUG-26-2002 15:4? MONTGOMERY WATSON 925 975 3412 P.01101 <br /> SIA JOAQUIN COUNTYPU13LIC HEALI —SERVIC <br /> ENVIRONMENTAL HEALTH DNIStOt C* <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468.3420 <br /> PUQLIC RECORDS RELEASE APPLICATIO <br /> APPIK:ANT �O S101ty HoPk/N5 <br /> ✓�7�1 77V t 1 ILS/ BUSINESS/AGENCY <br /> ADDRESS J-3' (u-LAl <br /> _ <br /> PHONE15 _ -1't y rFACSWILE <br /> TENTATIVE*APPOINTMENT DATE 5 02 TIME 2=va �,;, MIT/SERVICEBTH <br /> (PleasekW"7 days dale 3PAII tlo submittal) <br /> CHECK BOX TO EXPEDITE REOU -A UE F0fgUS ESS DAYS <br /> SIGNATURE OF APPLICANT DATE 0-4k,43;1— <br /> FILE <br /> 4k, vFILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> NA PROGRAM ELEMENTS SEARCH <br /> Ptw <br /> D Iv\2 (01n m - GN <br /> b0 IN <br /> w. <br /> ry <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 19 SOLID WASTE FACILITY <br /> IS OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY �;V SOUD WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIIIEMOVAL) ❑ DOG KEYNEL 4 DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH �0 PKG TREATMENT PLANT <br /> l r TIERED PERMITTED FACILITY ❑ MOTELMOTEL ,,'Br PUMPER TROCKIYAROICHEM TOILETS <br /> 17 TATTOoinoDY PEIRCING l7 PODUSPA P LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY T V PUBLIC WATER SYSTEM ❑ 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 checking <br /> the appropriate box(es) At least one file type MUST be Selected. Fax to (209) 464-0138 or__mail to the <br /> addiress indicated above. <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 maxirdum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively bring worked on by EHD staff may not be immediately available,for review. A new <br /> application may be suthnitted when the file is available. <br /> d. Any file not returned it1 the same 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 $89.00 deposit prior to review. <br /> S. "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 /> .c TIM ICV, vrc .,n ocvlou nATV <br /> TOTAL P.01 <br />