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04/21/2002 21:43 209538RA52 GEOLOGICAL TECH"'TCS PAGE 01/01 <br /> X01-23--2001 01:14PM FROM TO52 r.ei <br /> S1N JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> !r-- -"-- <br /> I h_ dENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> 02 fi i 22 n.rl 1, 21 <br /> (209)4B8-3420 934 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT C A*-\�-_-'CC1T3c .�� MUSINE851AGENCY `7].� q �Cp.� ��v ^� c.s - C <br /> ADDRESS \"V) `l}r C <br /> PHONE ��'� '� �1�� FACSIMILE 5 ��" ' q <br /> I <br /> TENTATIVE*APPOINTMfiNTDATE �r :mss � ,fi A-c-e_ rf .oI�TIMQ <br /> (Pleas«Give 7 to 10 businose days frg&dlsubmittal) <br /> CHECK BOX TO 9XPEDrm REQUEST•$87.00 F!�^NEU(7PP4t5;EsZa"u4s, 8S DAYS <br /> SIGNATURE OF APPI <br /> [CANDATE <br /> T <br /> I - <br /> I <br /> FILE ADDRESS THIS$IDR"EHD STAFF USid ONLY <br /> C' PROURAM ELEMENT$3EARGH <br /> C .• G 1"�Ol r' R.Y��rJ ' W 1 Ci�R r`l t+f` �/ <br /> ,���i✓J � h��fi ,�, z3.poc-L� <br /> 11 G C. ?.vD <br /> r SS G G r VV <br /> C. Ir-11-111iii1v 101 IP <br /> Z3•�rLz? <br /> nann <br /> Mn lrpi�5? <br /> ?i <br /> I! ENVIRONMENTAL.HEALTH DIVISION FILES <br /> 0UNDERGROUND TANK(USI)CLEANUP SITH(LAP) ❑ HOUSING ABATEMENT ❑ 90LID WASTE FACILITY <br /> i OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLFc <br /> IN UNDERGROUND TANK(MONn bRINGIREMOVAL) ❑ DOG KENNEL 0 DAIRY <br /> N HAZARDOUS WASTE GENEWOR ❑ CHICKEN RANCH ❑ PKO TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ' O MOTEL/HOTEL ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑ TATTOOMODY PPIRCING I ❑ POOL/SPA L7 LAND USE APPLICATION SrM8 <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> I. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate bo' (as). At least one File type MUST ba selected_ Fax to (208) 464-0138 or mall to the <br /> address indicated <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately fivelbusslness days but no later than ten(10)days after receipt of application. The files <br /> will be hold 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 new <br /> application may b4 submitted when the file Is available. <br /> 4. Any file not return d in the same condition as released will be reorganized by EMD staff at the expense <br /> of the applicant.return <br /> file reviews by the same applicant may require a$87.00 deposit prior to review, <br /> 5. 'TENTATIVE appolrtment dates must be confirmed with EHD staff. <br /> 6. Applications receiSed after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMONT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> aN an 081071ov <br /> TOTAL P.01 <br />