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SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES LUU LUU NU"UL1: MAR 2 1 2001 ENVIRONMENTAL HEALTH DIVISION ��(_}V1 304 EAST WESER AVENUE,THIRD FLOOR ENVIr"UNAEJ i HEALTH STOCKTON CA 95202 P ER ES (las)468-3420 PUBLIJC RECORDS RELEA(S�E APPLICATION n— Le-c) 9USINESSIAGENCY 1^+ A f liZUl kU� �f I ��rt �y+•,y��0 U v -el�i S ^7rJ/ ' .- cI,f-6 Ltl PHONE FACSSII JMILE 7 7-Z-' 9 0 65 TTATIVE"APPOINTMENT DATE �`a /-01 TIME g 3a EN (Please Give 7 to 10 businoss days from date of apPlioaeon s4bmitlai) 1 ACHECK RA.X TO EXPEDITE REQUEST-§ 7 0 FEE— QUEST PROCESSED IN 3 BUSINESS DAYS h1AR Z SIGNATURE OF APPLICANTDATE 3- 41-D� FILE ADDRESS THIS SIDE EHD STAFF USE ONLY PROGRAM ELEMENTS SEARCH Zv1 DID L tA," l l -]y0 ow Oq Rn 113D , r ��u nog TP Co e AuZ r= D ENVIRONMENTAL HEALTH DIVISION FILES )q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 114 SOLID WASTE FACILITY OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY �t HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT ❑ TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS ❑ TATTOOMODY PEIRCING Cl POOLISPA ❑ LAND USE APPLICATION SITES ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM D OTHER(PLEASE SPECIFYABOVE) 1. List up to ton addresses in the space above. Select the type(s)of files from the list above by checking the appropriate box(es). At least one file type MUS('be selected. Fax to (209)464-0133 or mail to the address indicated above 2., EHD will notify the applicant if any END files exist. An appointment for review will be con firmed approximately five business days but-no later than ten (10)days after receipt of applicatior)..The files will be held for a maximum Of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not he immediately available for review. A new application maybe submitted when the fila Is available: 4. Any fie not returned in the same condition as released will ba reorganized by EHD staff at the expense of the applicant. Future file rav(ews by tt{e same applicant may require a$87.00 deposit prior to revteW. 5. "TENTATIVE appo[ntment dates must be confirmed with EHD staff. 6. Applications received after 3:00 pm will be processed the next business day. CONT IWED APPOINTMENT DATE TIME DATE CONFIRbJED PHONE FAX INITIALS REVIEWED YES NO REVIEW DATE bN oa nn ,oarortm Z0op Tung—DDUTTUA 9906 7.L£ 9T6 YVA T£:Ln Tn/T7./9n