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6 <br />Mar. 5. 2002 5:07PM ^"OOR EARTH TECHNOLOGIES <br />/rawNo.8600 P. -4/4 03 <br />q� W .rte `� e em toNUMER <br />y SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION 7 <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />02 MP,R -5 FM b: 0(209) 468-3420 <br />�UBLIC RECORDS RELEASE APPLICATION <br />-�^ <br />APPLICANT_],(io gz4Aei7. /{Yr— <br />t ' Q <br />ADDRESS 1[]CJ 2.S-� / Lk)- .; ' .45;LAi "T— � <br />iaMal.• �w _ <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />I2r'UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />❑ HOUSING ABATEMENT <br />LS SOLID WASTE FACILITY <br />❑ OTHER CLEANUP SrrF (NON -LOP) <br />❑ FOOD FACILITY❑$OLID <br />WASTE VEHICLE <br />(9'UNDERGROUND TANK (MONITORINGIREMOVAL) <br />❑ DOG KENNEL <br />DAIRY <br />HAZARDOUS WASTE GENERATOn <br />1'!` -CHICKEN RANCH <br />❑ PKG TREATMENT PLANT <br />r"IERED PERMITTED FACILITY <br />L3 MOTELJHOTEL <br />❑ PUMPER TRUCK)YARD/CHEM TOILETS <br />I ) • 1 Yl � .I • .. �\ _/ <br />_._�IIIIII . <br />❑ LAND USEAPPLICATIONSITES <br />"rDICAL WASTE FACILITY <br />r_n /-r i r_rrn�� _- <br />❑ OTHER (PLEASE SPECIFYA$OVE) <br />..... .� _ .. <br />��iLVrll9lC/IIf�L�L�Ii1L�L9J�2111 <br />M1 <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />I2r'UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />❑ HOUSING ABATEMENT <br />LS SOLID WASTE FACILITY <br />❑ OTHER CLEANUP SrrF (NON -LOP) <br />❑ FOOD FACILITY❑$OLID <br />WASTE VEHICLE <br />(9'UNDERGROUND TANK (MONITORINGIREMOVAL) <br />❑ DOG KENNEL <br />DAIRY <br />HAZARDOUS WASTE GENERATOn <br />1'!` -CHICKEN RANCH <br />❑ PKG TREATMENT PLANT <br />r"IERED PERMITTED FACILITY <br />L3 MOTELJHOTEL <br />❑ PUMPER TRUCK)YARD/CHEM TOILETS <br />❑ TATTOOIBODY PEIRCING <br />❑ POOUSPA "' <br />❑ LAND USEAPPLICATIONSITES <br />"rDICAL WASTE FACILITY <br />❑ PUBLIC WATER SYSTEM <br />❑ OTHER (PLEASE SPECIFYA$OVE) <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 209 464-013s or Mail to the <br />address 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 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 Same condition as released will be reorganized by EHD staff at the expense <br />of the applicant_ Future Nle 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 />CONFIRMED APPOINTMENT DATE TIME <br />DATE CONFIRMED PHONE FAX INITIALS <br />