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— Jun, H. 2004 1,:02PM NI MRO 209.369.4228 <br />EN040C hLwtn <br />PAM mc w SAN JOAQUIN COUNTYPUBLIC HEALTH SERW ES <br />�r1 ENVIRONMENTAL HEALTH DIVISION <br />C v" I. D 304 EAST WESER AVENUE, THIRD FLOOR <br />STO209) U CA 05202 �f <br />JUN 1 8 2004 (xosl4casa2o <br />PUBLIC RECORDS RELEASE APPLICATION <br />ai�,Yn��l+TIC I�,'✓G��>' ___ BUBINE&SIAGENCY 1Ve1� Q IYh�CC'.C�OY>V' /�SSCGl0.rCS <br />ADDRESS Off. �r�d LLS+'i a\ W'Lh/ �d \ CA .J 2yO <br />PHONE 70") -31�-] -� ! b 1 FACSIMILE �� 1 — 3 6 `j " `J Z 8 <br />TENTATIVE' APPOINTMENT DATE L�. TIME 8. DO" ' / • I <br />(Ploasa give? tote bminocc days from date ofapplicatiion submittAO <br />CHECK BOX TO EXPEDITE REQUEST . 0 F - R Ql/ $$' PROCESSED IN 3 BUSINESS DAYS V L <br />SIGNATURE OF APPLICANT a(G! DATE <br />/ EO90-72f'1 <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />JUN 28 2004 <br />.UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING AELATEMENT i t9I SOLID WASTE FACILITY <br />-OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY `'6 S0a0 WASTE VEHICLE <br />11ilLUNDEROROUND TANK (MONITORiN01REMOVAL) D DOG KENNEL ❑ DAIRY <br />�`- HAZARDOU5 WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKO TREATMENT PLANT <br />�nEREO PERMITTED FACILITY <br />MOTELIHOTEL IMPUMPER TRUCWYAROICHEM TOILETS <br />❑ TATTOO/BODY PEIRCING ClPOOLISPA ❑ LAND USE APPLICATION SITES <br />❑ M[OICAL WASTE FACILITY 0 PURLIC WATER SYSTEM ❑ OTHER (PLEASE SPECIFY ASO S) <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(at). At least one fila typo MUST be tOl4Ct4d, Fax to (209) 404.0130 or mall 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 buslnrss days but no later than ten (10) days atter receipt of application. The files <br />will be held for a maximum of five business days for review. Appointments should be scheduled <br />acoordingty. <br />3. A fle 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 filo is available, <br />4. Any file not returned in the same condition as released will ba neorganlzed by EHD staff at the expense <br />of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to review. <br />g, -TENTATIVE appointment dates must be confirmed with EHO staff. <br />5 Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE <br />DATE CONFIRMED <br />TIME <br />PHONE FAX INMALS <br />REVIEWED YES NO REVIEW <br />