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_ --- - --- �� T4 i7ti714�e8a1 : W.�. <br /> e -oi-2Q00 10;22AM FROM <br /> �K►ctratu ,�--�—+y <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLO <br /> S <br /> STOCKTON CA 96202 <br /> (200)488-3420 MAY 04 20 <br /> PUBVC RECORDS RELEASE APP LICA►TtO14 <br /> r=IVVI UNEvlL I ALTIA <br /> APPLICANT BtJSI AtiENCY <br /> Irr-_S <br /> CA- <br /> ADDRESS I <br /> PHONE' ACJIM(LE <br /> TENTATIVE'APP01h'TNENT DATE ' TIMI: ` <br /> RplMsa ylva!7 to ZQ bual11 dsYs date of appiicativn au fnittai) 2000 <br /> *-HECK BOX TO EXP6PITE REQUF3T-$ 0a FEE-REQUEST PR CESsri V 3 BUSINESS GAYS C� <br /> SIGNATURE OF APPLICANT C DATE rJ <br /> FtL[ADDRESS Y 51pE END STAN!USE ONLY <br /> PROGRAM ELPMENTS S CM <br /> Tj <br /> a'In,t 'a 17 la <br /> o ,. <br /> 12 LL) <br /> (2-1r, <br /> R �`r <br /> y 4 �— <br /> d <br /> ENVIRONMENTAL HEALTH DWISION FILE$ 1 <br /> Y UNDERGROUND TANK(UST)CLEANUP SITE(LOP) d NOW ING ABATEMINT C+ SOLID WASTE FACILITY <br /> 5 OTHER CLEANUP SITE(NON4.OP) Q FOOD FACILITY O SOLW WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINWREMOVAL) O DOG KENNEL 0 DAIRY i <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH O PKG 4RXATMENT PLANT <br /> TIERED PFRMITT10 FACILITY ❑ MOTELMOTEL O PUMPER TRUCK/YAR=X1M TOILETS <br /> ❑ TATTOOIBODY PEIRCING L POOLWA O LAND USE APPLICATM SITES <br /> 0 MEDICAL WAST~FACILITY O PUBUC WATER SYSTEM ❑ OTHER(PLL449 SPECIFY ABOVE) <br /> 1. List up to ten addresses'In the space above. Select the type(s)of files from the list above by chocking <br /> the appropriate box(es). At least one file type MVST be selected. F43 to f20914§4.0'138 or mail to the <br /> address indicated a QYe• <br /> 2. EHD wiU notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximattiy live business days but no later than ten (10) days after receipt of application. The files <br /> will be held for s 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 EHO staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $78.00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates must bo confirmed with EHD staff. <br /> s. Applications received atter 3.00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> i N 00 1 <br /> TOTAL P.01 <br />