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�IIU lV V IlUinl.li. <br /> L' �fL % SAN JOA+' 'IN COUNTYPUBLIC HEALTH SEF "OES <br /> ElvwfRONMENTAL HEALTH DIVISION`. �J / <br /> APR 19 2001 304 EAST WEBER AVENUE,THIRD FLOOR OO <br /> STOCKTON CA 95202 <br /> ENV!l :_-r:i,ii •;T HEALTH (209) 468-3420 <br /> P1. ', /SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTBU�SI�NESSIAGENCY <br /> ADDRESS &30ft/,�2-!/-�Aot(LU <br /> A^--�V��,�—�°'—,--� <br /> PHONE / /-� 3 FACSIMILE _�1/J ��� 352 <br /> G c/tG� eL f) received <br /> TENTATIVE`APPOINTMENT DATE L3'"SAO l / l TIME <br /> (Please ghte 7 to 10 business days from ate of application submittal) PR 97 2MI <br /> CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS /\ <br /> SIGNATURE OF APPLICANT �— " DATE U O <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH O <br /> D E�Lm S7 Luo/ , 24�laly �ourG - � <br /> F 1 1� <br /> ,Z3H9 , a �� G I L <br /> 7 LJo/ 1vI l til E'i n ! 1 C4 <br /> i iV STocicTo c/ Lov i /G/.2, a3 P/ ?V 0 <br /> -MAY-- I 2001 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> E3-'UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> &I'6THER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> Cl-- NOERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> OL-KAZARDOUS WASTE GENERATOR O CHICKEN RANCH Cl PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ POOLISPA "" ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ 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 f209) 464-0138 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 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 /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAY INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EH 00 14 oaorno <br />