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DEC-12-2001 16:40 FPOI`I:TI)IlliN,6 LABS INC. 5592687126 TO:B31 333 11(32 P.001/001 <br /> �J 10-17-2000 10:2B"n 1M wL��T.a. TO /o >�+LL_ 15592687126 P.;2 <br /> .G.LLLIVkY <br /> n SAN JOA UIN COUNTYPU$LIC HEALTH SERVICES k" °`vYMau <br /> li ENVIRONMENTAL HEALTH DIVISION 769 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCI(TON CA 95101 <br /> (2D9)468342D <br /> PUBLIC RECORDS RELEASE APPLICATION wt APPLICANT IX.t �j.ieAdayx gu51N —le , <br /> ADO SS iJSa � r-YcSHp 16s1rT <br /> 6c - <br /> F(�E5ST7 <br /> PHONE FACSIMILE 5-2;7qt <br /> TENTATIVE'APPOINTMENT DATE /-G/ TIME <br /> (Please gri�ef7 ttO 110 bvsines days frrJo�/m date of appltoatlon submittal) <br /> CHECK BOX TO PXPEolle REgUESi-487,0 <br /> p0 VEE r"�Q"UEST PROCESSED IN 7 BUSINESS BAYS <br /> SIGNATURE OF APPLICANT ( (x,-�caPc�—_ DATE /.P,-/A —o� <br /> F1LE ADDRESS 7119a SIDE END STAFF USE ONLY <br /> a E U'K+ psy PROGRAM Et.EMENTS SEARCH <br /> 335 rR <br /> 0 3 E +* sT <br /> t .t.Ls7" <br /> 3 E. f—ee-f- LuSr <br /> •.fa <br /> ' Cr LkST <br /> t1;U V+ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP$R£(LOP) ❑ HOUSING AIIATEMENT O SOLD WASTE rACILrY <br /> OTHER CLEANUP SITE(NON-Lop) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(ISOIIIrORINGlREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERM11TTrOrACILITY ❑ MOTELMOTEL ❑ PUMPER TRUCKrYARNCHEM TOILETS <br /> C TATTOO/BODY PEinciNG ❑ POOt7SPA --- ❑ LAND USE APPUCAMM SrrFE <br /> G MEDICAL WASTE FACILITY ❑ PUeLIC WATER SYSTEM OTHER(PL.EASE4SPECIFYADOVE) <br /> a.rtfrc.5 <br /> 1. List up to ten addresses in the space above. Select the type(s)of flies from the Gat above by checking <br /> the appropriate box(es), At least one file typo MUSTbe selected. Fax to f2Q2146"128 or mail to the <br /> address indleated above "- <br /> 2. RHD 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 attar receipt of application. The riles <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 iminediate(y available for review. A new <br /> application may be Submitted when the file is avallab)m <br /> 4- Any file not returned in the same condition as released wits be reorganized by EHD Staff at the expanse <br /> of the applicant. Future file reviews by the same applicant may require a;87.00 deposit prior to review, <br /> 5- 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> I <br /> CONFIRMED APPOINTMENT DATE TIME <br /> PATE CONFIRMED PHONE FAX INITIALS <br /> IktEVIEWED YES NO REVIEW DATE <br /> M M OMtlY.00 <br /> TOTAL P.02 <br />