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,---92703/2005 15:17 FAX 209 9480627 0002/002 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL SALT&DEFARTMENT <br /> FFR A g 9ng5 304 E Weber Ave 3cd Floor Stockton,CA 95205 <br /> ENVIRONMENT HAn 468-3420 Fax: (209)464-0138 Web:wwW-co.san joaquin.ca.us/ehd / <br /> PER M I Tr,E RVI C E S PUBLIC RECORDS RELEASE APPLICATION <br /> Fj(tj� BUSINESSIAGENCY: wd C7� A <br /> ADDRESS: <br /> PHONE: FACSIMILE: <br /> TENTATIVE*APPOINTMENT DAM TI"1B7 1� —�— <br /> (Please allow 10 businetc days from date of application submltta0 <br /> CHECK BOx TO EXPEDITE REQUEST-$93.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT E v� <br /> DDeoartment Use Only <br /> \ FILE ADDRESS UNIT <br /> V' ,Sr Y"i t ar.n p 6N Unit 1 <br /> � p 1' <br /> 0 <br /> v,5 r x se., <br /> v H a. s Ata3 Cit, <br /> n 00,'7 U <br /> NSF _ 1R a ^ <br /> ,. ssca <br /> \�Ilv a m Unit <br /> US s aU CRf <br /> 19 4 <br /> Q Unit 5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES V^• <br /> tA UNDERGROUND TANK fUST)CLEANUP SITE(LOP) O HOUSING ABATEMENT S(.SOLID WASTE FACILITY <br /> HE OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> 191 UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL EL DAIRY - <br /> 0 HAzARDOUs WASTE GENERATOR ❑ CHICKEN RANCH 19L PKG TREATMENT PLANT <br /> O T7ERE0 PE`.RMrTEO FACILITY ❑ MOTEL/HOYEL ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> O TATTOOIBODY PIERCING POOUSPA MLAND USE APPLICATION SrES <br /> ❑ MEDICAL WASTE FACILTry ❑ OTHER(PLEASE SPECIFY) <br /> �. List up to ten addresses in the space above. Select the type(s) of files from the list aboye Py checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464-0138 or­mail the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any ENP 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 ne <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 expens <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to revie• <br /> S. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will.be processed the nextbusiness day. <br /> GONE(i2MED.i{)I?POINTMN( lA7E' a`LIME <br /> I.. � .'.1•...... <br /> 'gQTH CONFIR4(Eii PHONE . FAX •f:,' : `: w1NFTl ILS' ;Y•:`t .. <br /> REVIEWED .a. YES NO REVIEW DATE <br /> - FMl18A.11!-088 <br />