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RUG-28-2002 14:31 FROM:CITY OF ST:"' HRDIPCC 2099378822 T0:4E�"138 P.002/003 <br /> 00/28/2002. 1+5:05 464013B ENVIRONMENTAL VEAL PAGE 01 <br /> sun SOO Raivak• <br /> �II DATe PX"v= <br /> SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES <br /> W CNVIRONMENTAL HEALTH DIVISIQN fDl <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA-3420 2 AUG 2 9 2002 <br /> (2D9) 468-3420 <br /> PUBLIC RECORDS RELEASE AP <br /> pL1CAT10N <br /> APPLICANT <br /> +� L1iw SI•� RUSINESSIAG6NCY TAf? <br /> ADDRESS <br /> PHONE! FAC51111 <br /> 1' 1 TIME ey-A <br /> TENTATIVE'APPOINTMENT DATE <br /> St0' 7_ .Jw,. <br /> (PNga•give <br /> UtoNus m"'day M of ap�p�licatlor submlltal) <br /> CHECK BOX TO EXPEDITE REQUEST•Sa>rao F E-4 UESTSPROC F1IN 3fUSlNE89 DAYS J <br /> A_._. I _ DATE <br /> SIGNATURE OF APPLICANT <br /> FLIP ADDRK66 THIS IDE END a PROGRAM ELEM NTS SEARCH <br /> O <br /> 2. <br /> 1 O EI <br /> Ziti O�Q.ADO <br /> M%nrr,er Ale. <br /> y( Ls 4AjgLe Ao <br /> �'� y 61 �• a <br /> ENVIRONMENTAL HEALTH DIVISION FILES �+ <br /> ❑ HOUSING ABATEMENT O SOLID WAST!FACILITY <br /> UNDERGROUND TANK(UST)GLEAICUP SttE(LOP) O FOOD FACILITY 17 SOLID WASTE VEHICLE <br /> OTHER CLEANUP SrTE(NON-LOP) ❑ pOG KENNEL ❑ DAIRY <br /> UNDERGROUND TANK(MONITORINOIREMOVAL) CHICKEN RANCH M PKC TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RAN ❑ PUMPER TRUGKIYARWCHEM TOILETS <br /> ❑ TICREO PE;RatnTED FACILITY Cl POOIJ3HA d LAND USE APPLICATION SITES <br /> 171TATTOoioODY PCIRCING Cl PUBLIC WATER SYSTEM p OTHER(PLEASE SPECIFY ABOVE) <br /> Ll MEDICAL WASTE FACILITY + <br /> 1, List up to ten addresses In the apace above, Select the type(a) of files from the list above by checking <br /> the appropriate bax(ea). At least one file type MUST be selected. <br /> Fox to r2n91 464-0138 Qr Mall tosl1a <br /> arlA w k. Indleated AbQ& <br /> Y. EHD will notify the applicant If any EHD flies exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt <br /> thea dOf pli tion The flies <br /> Will be held for a maximt.1m of five business days for review. App <br /> uled <br /> accordingly. <br /> 3. A fila that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be aul�mItted when the file Is Rvallable. <br /> A. Any file not returned i6the same condition ea releasad will be roorganlZed by EHD staff at the expense <br /> of the applicant. Futufo file reviews by the same applicant may require a $99.00 deposit prior to revlOW, <br /> S. '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 /> REVIEWED YES NO REVIEW DATE <br />