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AUG-26-2002 15:4? MONTGOMERY WATSON 925 975 3412 P.01101 <br /> ;` . 5!`-NJOAQUIN COUNTYPU13LIC HEAL,.,, �,a`.�.N., � <br /> W ENVIRONMENTAL HEALTH DIV186N *t <br /> 304 SAST WESER AVENUE,THIRD FLOOR ' <br /> STt�MON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATIO <br /> I V M940-' Fh'1 k)nss ' ! iF D <br /> APPLICANT O s ky hbPV.)1USBUSINESWAONCY t�1 <br /> ADDRESS <br /> G��3 Q '"r VA SIN- L. ?j0 i� <br /> AU <br /> PHONE �? � �L{''I h�� r2'5 2S <br /> TE14TATIVV APPOINTUIENTDAT& �J OZ TIME � UG`+FACSIM <br /> ��RM'T/SF VICES <br /> (Pleas@ Utva 7 to t1D d"S d1te appal submittal) <br /> CHECK BOX TO EXPEDITE lr£Q(1�5`T'- tIE AmsfmbA YS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE END STAFF USI;ONLY <br /> y�A PROGRAM ELEMENTS SEARCH <br /> D lY\Q OIA W LGl <br /> Io0 1 IN <br /> IT77a <br /> NJ-64 g' gyj;;� <br /> L (a <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> SEV UNDERGROUND TANK(U$T)CLEMUP SITE(LOP) C] HOUSING ABATEMENT '1P SOUR WASTE FACILITY <br /> PC OTHER CLEANUP SITE(NOWLOP) - 0 FOOD FA=nIY �b SOLID WASTE VEHICLE <br /> UNDERGROUND TANK tMONITORINGiREMOVAL) 0 DOG KENNEL 0 DAIRY . <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH :0 PKG TREATMENT PLANT <br /> TIERED PERMrI TED FACILITY O MOTELMOTEL V PUMPER TRUCKIYARDICHEM TOIL ETS <br /> IO TATTOoieaDy PEIRCING 17 POOLrSPALAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY PUBLIC WATER SYSTEMA 0 OTHER(PLEASE SPECIFY ABOVED <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 boxes} At least one file type MUST be selected. Fax to(209) 464-0138 or mail tv the <br /> aditss indicated abase. <br /> 2. EHEI will notify the app# cant If any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(1 Q) days after receipt of application. The files <br /> Will be held for a mWirdum of five business days for review. Appointments should be scbeduted <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 /> appuication may be Submitted when the Tile is available. <br /> 4. Any file not returned itlthe same condition as released will be reorganized by EHO staff at the expense <br /> of the applicant. Futu?b file reviews by the same applicant may require a$89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointrhont dates must be confirmed with END staff, <br /> 6. Applications received after 3:00 pry will be processed the naxt business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> e�n�nren vca Min omnMAr nA-r <br /> TOTAL P.01 <br />