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04/07/2003 17:11 9252836121 <br /> � AEI CONSULTANTS 03F.) PAGE al <br /> 4649138 ENVIRONMENTAL H PAGE 'IIT <br /> SAN JOAQUIN COUNTYPUBLIC FHP LOG NUNaeR <br /> HEALTH SERVICES <br /> APR 0 8 2003 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> ENVIRONMENT HCALTH STOCKTON CA SS202 34 3 <br /> PERMIT/SERVICES (209)468-3420 6) 'i­� I_, 1 � <br /> PUBLIC RECORDS RELEASE APPLICATION InS��!�.��_r_,� 1� <br /> APPLICANTrr7�t- n S ,ft'h BUSINEMAGENCY APR 0X2003 <br /> ADDRESS <br /> p�-J lQ�fMI CMI/IR(� n�LN7 <br /> HGNE.\ 1F$�7$J'(olal Q2 2��'- _ PERMIT "T HEALTH <br /> —FACSIMILE SERVICES <br /> TENTATIVE'APPOINTMENT DATE, TIME <br /> (Please Dive 7 to 10 eLziness days from date of application <br /> i <br /> CHECK BOX TO EXPEDITE REQUEST <br /> �.$gg,pg�F)EE�-RE UEST PROCESSED IN 3 BUSINESS DA?fS � +' 3/ <br /> 'SIGNATURE OF APPLICANT (/1/�1NL Y�l. ^�—� DATE _1 D <br /> FILE ADDRESS THIS SIUE EHDSTAFF USE ONLY <br /> PROGRAIII ELEMEIJTS SEARCH <br /> I J1,110 <br /> — _ <br /> lag <br /> p Epp <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE:FACILITY <br /> OTHER CLEANUP SITE tNON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE:VEHICLE <br /> UNDERGROUND TANK(MONITCRING/REMOVAL) ❑ DCC KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH a PKG TREATMEN"I PLANT <br /> ❑ TIERED PERMITTED FACILITY CI140TELJHOTEL 11 PUMPER TRUCKIYARDICHEM Wg er$ <br /> ❑ TATfOOA300Y PEIRCING ❑ PGOUSPA IJ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ ❑ CTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files fr,)m the list above by checking <br /> the appropriate box(es). At least one Tile type MUST be selected. Fax to,209 4F_4_0138 or mail to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for roview 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 SHO staff may not be immediately available for review. A nev <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 expensc <br /> of the applicant. Future fie reviews by the same applicant may require 2.589.00 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 Post-IP'Fzgc Note 7671 <br /> TO <br /> DATE CONFIRMED ___ PHONE FAX J2Phons <br /> oo r <br /> REVIEWEDVIEW YES NO REDATE <br />