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Feb • 13. 2003 2:02PM CONCN.01EARTH TECHNOLOGIES - <br /> No .2811 P 1/I <br /> ENB LOG NUMBER <br /> DINE WXMVJF�)fr <br /> HILI �( SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> FEB 1 3 2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> PPW; ;i i, !!e_Iv i O:ALl Fl (209) 463-3420 <br /> F'LP.�,r1;T!SEHv�CFt1l3LIC RECORDS RELEASE AP <br /> PLICATIO�N�- }_ Q <br /> APPLICANT �nn ,ems..HUSINESSIAGENCY CL'2`t114c— <br /> FACSIMILE <br /> iii A 1 Z.- ~ <br /> ADDRESS l�a F <br /> PHONE ' -�. FACSIMILE r-7-Q" <br /> Time 3 �,C �j <br /> TENTATIVE`APPOINTMENT DATE <br /> e 7 to 1��fre*s day5 front <br /> 9date W apP4ICauU4F1 submittal') <br /> El CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS 1 I <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SID EHD sTAFI 1USE ONLY <br /> nD V5T ELEMEN,M SEARCH <br /> d vti <br /> 7 E. Woo Ver MAV-CA <br /> ns d ltv <br /> ,N <br /> L- r ✓a - <br /> f O tO 0.ntQC/ Se a 5 ✓ + _ <br /> ad696 s . �fi Cae. Rd :, , ausT ✓ _ _ <br /> S . a Se. 4 nu v sr _ <br /> 700 v% / — <br /> s K `1 no V tof n N — <br /> O d P Dr to ✓ ✓ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT IPd,SOUD WASTE CAMLITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITYSOLID WASTE VEHICLE <br /> ` <br /> UNDERGROUND TANK(MONrrORINGlR£MOVAL) ❑ DCG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR W CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY 1:3MOTEUHOTEL ❑ PUMPERTRUCKIYARDICHEMTOILJ�-}3 <br /> ❑ TATTOCf6ODY FORCING ❑ POOL/SPA - W LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PU8UC WATER SYSTEM ❑ OTHER(PLEASE SPECIFYAbOVE) <br /> 1. List up to ten addresses in the space above_ Select the type(s) of files from the list above by checldnq <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 4ti4_5138 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 iaa 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- Anew <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 EHE) staff at the exponse <br /> of the applicant- Future file reviews by the same applicant may require a $37.00 deposit prior to review. <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 />