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V 04-113-200I oe:siRi Im TO 19259409632 P,01 <br />f SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES eneLOL«u.wa„ <br />- ENVIRONMENTAL HEALTH DIVISION q� <br />304 EAST WEBER AVENUE, THIRD FLOORAPR 1 7 2001 STOCKTON CA 95202 47� <br />(209)468-3420 <br />Lfi\ii `r'',il PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT(�/� / EN T// j C ON57 F3/ JJ7� BuslHesSIAcexcY 4�i 4d C0/Y CO ySGi 4id 6 L �C. <br />L vp,f, Eel T6 2 ©,g • <br />PHONE 2�-/-r �[`/ 2- FACSIMe.E JZs--/q 0-94932- Ann in n <br />i <br />TENTATIVE' APPOINTMENT DATE_ /7, Ab -40 TIME 9 <br />(Fl n give 7 til 10 hays from date of appilcaaon auLnJttsl)•• O o <br />CHECK BOX TO EXPEDITE REQUEST -$V.00 -FEE -REQUEST PROCESSED IN 3 BUSINESS DAYS ? <br />SIGNATURE OF APPLICANT DATE <br />IT <br />60 Z? -2 <br />ENVIRONMENTAL HEALTH DIV12ION FILES <br />FILE ADDPESS <br />THIS SIDE EHD STAFF USE ONLY <br />PROGRAM ELEMENTS SEARCH <br />NUFRGROUND TANK (UST) CLEANUP SrM(LOP) <br />S. <br />G a- Cv <br />HER CLEANUP SITE (NON -LOP) <br />N c <br />LL <br />OL® WASTE VEHICLE AFnNRGROUND <br />s C <br />.2 G 2 <br />99 .23o <br />Z�ao 62 36o y s3o <br />1 0 <br />I t C y <br />? 5-3 7 6 16r, <br />❑ MOTEUHOTEL <br />O PUMPER TRUCK/YARIXCHEN TOU.PTS <br />❑ TATTOOMOOY PEIRCING <br />❑ <br />Sr. E c oD <br />Z a3�o <br />�r <br />99 2 2 <br />©p <br />C <br />O a36 <br />239Y <br />3ol, 23 2 .23d <br />Z- <br />S. G <br />S 4 <br />.2.228 <br />2 8! 399 <br />k IntL4 <br />/( <br />22 CJ <br />C Yt� LP1 <br />�2 �r6 -?9G <br />, -Z3S/ <br />60 Z? -2 <br />ENVIRONMENTAL HEALTH DIV12ION FILES <br />E <br />NUFRGROUND TANK (UST) CLEANUP SrM(LOP) <br />❑ HOUSING ABATEMNT <br />Vu <br />1OLID WASTE FACILITY <br />HER CLEANUP SITE (NON -LOP) <br />M FOOD FACILITY <br />LL <br />OL® WASTE VEHICLE AFnNRGROUND <br />TANK (MONITORINWREMOVAL) <br />0 DOG KENNEL <br />d DAIRY <br />�ARDOUS WASTE GENERATOR <br />❑ CHICKEN RANCH <br />❑ PKG TREATMENT PLANT <br />TIERED PERMITTED FACILTrY <br />❑ MOTEUHOTEL <br />O PUMPER TRUCK/YARIXCHEN TOU.PTS <br />❑ TATTOOMOOY PEIRCING <br />❑ <br />D POOLMPA - <br />a LAND USEAPPLICATiONSITES <br />MCDiCAL WASTE FACH_rTY <br />❑ PU8UC WATER MTEM <br />❑ OTHER (PLEASE SPECIFY ABOVE) <br />1. List up to ten addre*ses in the space above. Select the types) of files from the fist above by checking <br />the appropriate box(az). At least one file type MUST be selected. Emig [2091464-0138 or mall to the <br />AiNro-ss indj acted above• <br />2. EHD will notify the applicant If any EHD files exist. An appointment for review will be continued <br />approximately five business days but no later than ten (10) days after receipt of appllcauon. The files <br />will be held for a maximum of five business days for review. Appointments should ba 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 evallable. <br />4. Any file not returned in the same condition as released will be reorVanlzed by EHD staff at the expense <br />Of the applicant Future file reviews by the same applicant may require a S87-04 deposit prior to review, <br />S. 'TENTATIVE appointment dates must be confirmed with END staff. <br />6. Applications recelved after 3:60 pm will be proceased the next business day. <br />CONFIRMED APPOINTMENT DATE � TIME <br />DATE CONFIRMED PHONE FAX INITIAL$ <br />