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F e h v' nrr al- Inc. FAX NO. 2095690295 <br /> Jun. 05 2000 10:12AM P2 <br /> AN S3�13€�dc1;l W�f3d <br /> AN JOAQUIN COUNTYPUBLIC HEALTH SERVIC��IV_ <br /> ENVIRONMENTAL HEALTH DIVISION <br /> RUSH 344 EAST s�tE'BER AVENUE,THIRD FLOOR 1112 S Nn <br /> �CKTON CA 95202 <br /> (249)468-3420 f <br /> PUBLIC RECORDS RELEASE APPLICAT{6 <br /> APPLICANT_ Sl P P. 4 a n1 C7_L'0 )K d 6USINESS/AGIENCY <br /> ADDRESS �+r ,3 ' Al'-e-, ;:_ �r� vim, L iaS <br /> PHONE '7 U d �, FACSIMILE_ V <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> (Please give 7 to 10 business days from data of application submittal) <br /> lt�HECK SOX TO EXPEDITE REQUEST-$78.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT -� DATE a <br /> FILE ADDRESS <br /> 3 57 <br /> S o v 2 <br /> tV7 ,/M s:-2 a b� <br /> e <br /> )I- 1 <br /> i <br /> 44 <br /> Op <br /> MW <br /> 4� . :. <br /> ENVlL2Q fi"` NTAL EALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHEk CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY Q SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MON ITORINGiT EMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HA7.ARDOUS WASTE GENERATOR 0 CHICKEN RANCH Cl PKG TREATMENT PLANT <br /> ❑ TIERED PERMrITrE0 FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCKrYARUCHE&I TOILETS <br /> ❑ TA.TT0018oDY PEIRCING 4 POOL/SPA ❑ LAND USE APPLICATION SITES <br /> 0 M=EDICAL WASTE FACILITY - Q PLJeUC WATER SYSTEM ❑ 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 mail to the <br /> address indicated above. <br /> 2. £HD will notify the applicant if any EHO fifes 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 bays for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO staff may not be immediately available for review. A new <br /> appIicati0a1 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$78.04 deposit prior to review. <br /> 5- 'TENTATIVE appointment dates must be confirmed with EHO staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> ' CONFIRMED APPOINTMENT BATE <br /> TIME <br /> DATE CONFIRMED PHONE FAX INITIAL3 <br /> �EVIL'Y�'fvQ YES NO REVIEW DATE <br />