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-Jul 02 '03 08: 57a ESR IC 916513:4.4501 P. 2 <br /> EHD UK NUMBER <br /> DAteeECEive°. -SAN JOAQUIN COUNTY <br /> I U L Il N 2003 ENVIRONMENTAL I'IEALTH DEPARTMENT <br /> 304 EAST WEBER P,VENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> :Ii:ES PUBLIC RECORDS RELEASE APPLICAVON <br /> APPLICANT , l <br /> �llt/L� USINESSI�\GE CY <br /> ADDRESS <br /> FACSIMILE (, <br /> G� r` <br /> PHONE 1 //' <br /> IIl�P�� TIME �'r� ! SJ <br /> TENTATIVE*APPOINTMENT DATE submittal) <br /> S ill <br /> t;) <br /> (Please give 7 to 10 business drys from date of application ) <br /> PROCESSED IN 3 BUSINESS DAIS <br /> $88.00 F REQ <br /> CHECK BOX TO EXPEDITE REQUEST- — S1�Si <br /> DAT <br /> SIGNATURE OF APPLICANT <br /> THIS SIDE E14 D ST/,FF l)Sl QNI-Y <br /> FILE ADDRESS PROGRAH ELEMENTS SEARCH <br /> CY ? M <br /> 7- <br /> 6 -- -- <br /> Lt <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> C3HOUS;NG A13ATEMENT ❑ SOLID WA5CE FACR.ITY <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ FOOD FACILITY ❑ SC(.ID WAS'FE VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) t3 DOG ISENNEL 13DPIRY - <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ CHICKEN RANCH ❑ PKG TREAT tAENT PLANT <br /> HAZARDOU3 WASTE GENERATOR ❑ MOTEUHOTEL ❑ PUTAPL::R T'P•UCIVYARDICHEM TOILE S <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHO ❑ LAND USE i PP / AS ONTES <br /> ❑ MEDICAL <br /> WAS TEF C FACILITY <br /> OTHER(PLEASE SPECIFY)'C(� 'a( G_ <br /> ❑ MEDICAL WASTE FACILITY y l(� <br /> 1, List up to ten addresses In the space above. Select the type(s)of files*roin thf.,list above by checking J <br /> 1.�._^ <br /> the appropriate box(es). At least one file type MUST be selected. Fax to ?.09 a64-01-- <br /> 38 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for re- ipew+Hill bii ao fi h files <br /> approximately five business days but no la':er than ten(10)days after r�cei t c:f app <br /> will be held for a maximum of five business days for review. Appointments shauld be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EIiD staff may not be immediately av ailable 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$89.110 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 business clay. <br /> CONFIRMED APPOINTMENT DATE TIME -- — <br /> DATE CONFIRMED PHONE FAX INITIALS .— <br /> REVIEWED YES NO REVIEW DATE _ <br /> EHD t6.02.006 <br /> 3r2612003 <br />