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04-16-2001 08151FM ...Y'1 ra 192594032 P.01 <br /> :id mbc&vea [M1D IUi.ruMuw <br /> I- SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION �. <br /> I 304 EAST WEBER AVENUE.THIRD FLOOR <br /> 1APR 1 7 Z001 STOCKTONCAe62o2 <br /> (209)468-3420 <br /> ElI\I = ' I;;"-NJH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTO% RT(y CC)AW V'rn,y 5USINE3S1AGENCY 4!�6 <br /> ECO/(/ Cf �T <br /> ,�ti rs rvc. <br /> ADDRFSs�473 W. c AS pgsrT(}s Ly9. S cr.%q Te 2 05' <br /> TENTATIVE* <br /> _ q_ <br /> i PHONE Z �^ / 4CJ' ./ 6 �Z. FACgINI[L�E, 9 Z S — / '7 �� ✓9O� �. <br /> i TENTATIVE*APr POWTMENT DATE V 0 TIME <br /> (Plsasa 9N&7 th 10 buki from data of appiicsnon subrtJasl) <br /> CHECK BOX TO EXPEDITE REQUEST-$d1.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS / <br /> SIGNATURE OF AP� <br /> P (CANT - DATE / O <br /> ( -(kf17 S <br /> FILE ADDRESS THIS SIDE END STAFF 41SE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> S G <br /> O <br /> S ? <br /> r C <br /> r e- sr. E 1. 02) 2 <br /> R CakMss.a8 <br /> Z S. t: S 4 3S.a� lflc <br /> 4 3s"aG 4K <br /> C CX z A iZ4D_ <br /> .� ZZR C 71 S a9. GC nGi_ I <br /> ENVIRONMENTAL HEALTH DIV191ON FILES <br /> P7jrGTANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ASATLUENT �EOLm WASTE PACILMY <br /> P 1FOOD FACILITY - G�SOL®WASTE VEHICLE <br /> ND <br /> RGROUND TANK(MONrTORINGlREMOVAU P DOO KENNEL d DAIRY <br /> DOUS WASTE GENERATOR ❑ CKKAI EN RANCH R PKG TREATMENT PLANT <br /> IERED PERIMFO FACIUTY ❑ MOTELMOTEL Q PUMPER TRUCKIYARDMAUA TOILETS <br /> I ❑ TATTOOIBOOY PEIRCING D POOLJSPA 0 LAND USEAPPLICATKNJSITES <br /> ❑ MEDICAL WASTE FACILRY ❑ PUBUC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addrestses in the space above. Select the type(&)of files from the list above by checking <br /> the appropriate box(as). At least one Hle type MUST be selected. Fax to(208)464-0136 or mail to the <br /> addrosyindicat�d aboveabove. <br /> 2. EHD will notify the applicant If any EMD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after roceipt of application. The files <br /> will be held for a maximum of five bus nes$days for review. Appointments should ba scheduled <br /> accordingly. <br /> 3. - A file that is actively being worked on by EHD stall may not be immediately available for review_ A now <br /> 2ppllc2tion may be submitted when the file is avellable. <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 mviews by the same applicant may require a $87.06 deposlt prior to review. <br /> S. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:DO pm will be processed the next business day. <br /> CONFIRMED APPOINTIMENT DATE TIME <br /> DATE.CONFIRMED PHONE FAX INITIALS <br />