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09/17/2003 09:37 FAX 209 9480621 Z 003/004 <br /> D)�!TIv rel I eHa roe HumuER r��l.�.��I�=�! ` SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> SEP 1 7 2003 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR 4q5 <br /> STOCKTON CA 95202 <br /> s:.NVIRO�JfvlEhT HEALTH (las)468-3420PERMIT/SER�'ICEs PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �I 1 +J _ 7�P1 � 13USINESSIAGENCY <br /> ADDRESS F_ 1`�`i�-t�.� I�C�C�1 ►� �4 � GC7 S— <br /> PHONE ��l a � FACSIMILE <br /> TENTATIVE"APPOINTMENT DATE _ �Z�'.JO _ TIME f 2,,67D <br /> (Please 81ve T to 10 b I�days km date o(applicatIon submittal) r <br /> CHECK BOX TO ECPEDiTE REQUEST-387.00 F�_ Q�UESTROCE5S 3 BUSJNESS DAYS <br /> SIGNATURE OF APPLICANT - DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENT;,�EARCHq <br /> Ccs�.. 5-T�D L�1�rt, `y •--^�'� L\ U <br /> DO <br /> . VA-1 C t-t w 9q Sib CVG-4-o^3 <br /> 3 <br /> (?-,OLD ,rM1 IP I jN111 <br /> Li o Ir I I <br /> W S 4 6 KI. W�� a 1 wa � r �r <br /> L) <br /> It L� <br /> ENVIRONMENTAL HEALTH DIVISION FILESy� <br /> I)t UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT IN SOLID WASTE FACILITY <br /> IR OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ER UNDERGROUND TANK(MONITOWNGIREMOVAL) ❑ DOG KENNEL j9I DAIRY <br /> W HAZARDOUS WASTE GENERATOP ❑ CHICKEN RANCH 63 PKG TREATMENT PLANT <br /> C1 TIERED PERMITTED FACILnY ❑ MOTEL/HOTEL ❑ PUMPER TRUCKIYARDICHEMTOILETS <br /> O TATTOOIBODY PEIRCING C7•POOLISPA "' Mt LAND USE APPLICATION SITES <br /> Cl MEDICAL WASTE FACILITY ❑ PUBUC WATER SYSTEM Cl OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138 or mall to the <br /> address indicated above- <br /> 2. <br /> 2. EHD will notify the applicant if any EHD file.*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 new <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 expense <br /> of the applicant. Future file reviews by the same applicant may require a$137,00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next buslness day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INMALS <br /> REVIEWED YES NO REVIEW DATE <br />