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FROM NOA Environmental PHONE NO. : 209 369 4228 Dec. 23 2002 12:25PM P4 <br /> dill SW NUM86R <br /> SAh OAQUIN COUNTYPUBLIC HEAL SERVICES <br /> tNVIRONMENTAL HEALTH DIVISION <br /> v 304 EAST WESER AVENUE,THIRD F100R I <br /> DEC 2 3 2002 STOCKTON CA 95202 <br /> (zos)ase-sato <br /> ''h0 i�PU8L1C�_RECORDS RELEASE APPLICAMN <br /> �a x�� <br /> APPLICANT rl BUSINESSIAGENCY U04 .(r�r7�_�'� 7�-( <br /> ADDRESS <br /> PHONE_&►)30--7701 FACSIMILE lzor <br /> TENTATIVE"APPOINTMENT oATE 1n. 6. 2,06 3TIME - �rt• `� _a.�`j j 7<�/� <br /> (Pleaselq - <br /> give 7 to 10 business days from date of application submittal) <br /> El CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE-•RE ES PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �— DATE3 <br /> e_ <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 2,Z55 Il-LLod,', 2 r i 6e'A,1 <br /> Ave.. L-D <br /> 5 •,- / ,� rte, <br /> b : /�/ . ;gip /)✓..,� <br /> 7 <br /> Q r(I <br /> 1 U-7 N. 5, ad S'. Lodi (14i <br /> r, <br /> • wt �A •4 .�/tL <br /> ENVIRONMENTAL HEALTH DIVISION FILES �T <br /> 9f UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q HOUSING ABATEMENT D SOLID WASTE FACILITY <br /> Or OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 0 SOLID WASTE VEMICLE <br /> 1C UNDERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENNEL 0 DAIRY <br /> S6 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH . 0 PKG TREATMENT PLANT <br /> 0 TIERED PERMnTY ED FACILr 0 MOTELIHOTEL 0 PUMPER TRUCWYARD/CHEM TOILET$ <br /> C] TATTOO/BODY PEIRCING ❑ POOLISPA 0 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PU13UC WATER SYSTEM W OTHER(PL OZt 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 120914W138 or Mail to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any.EHD files 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$89.00 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 business day. <br /> CONFIRMED APPOINTMENT DATE, TIME ' <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> -A M Nw' -- — <br />