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FROM NOR Environmental PHONE N0. : 209 369 4228 Dec. 23 2002 12:25PM P4 <br /> ;SA 'N SOAQUIN COUNTYPUBLIC HF-ALTT` 'SERVICES ��"�'� <br /> NVIRONMENTAL HEAL <br /> VISION <br /> DEC } <br /> 304 EAST WEBER AVENUE,HEALTH <br /> RDI FLOOR <br /> 2 3 2002 STOCKTON CA 8520.2 <br /> PU8L1C (zos)468-3420 1011?q <br /> RECORDS RELEASE'APPLICATION <br /> APPLICANT z..e l <br /> 11 II BUStNEss/AGENCY <br /> ADDRESS 2.Z ,Ill . K <br /> PHONE 205 367-370t <br /> FACSIMILE <br /> TENTATIVE"APPOINTMENT DATEID-3 74 <br /> Z� <br /> (Please glue 7 to 10 buslnegS days from date Of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-S89.00 FEE- RE ES PROCESSED IN 3 BUSINESS DAYS n- <br /> , <br /> SIGNATURE OF APPLICANT <br /> DATE / Z- <br /> FILE ADDRI SS + <br /> THIS SIDE EHD STAFF USE ONLY <br /> I -S 5. it od rAl <br /> PROGRAM ELEMENTS SEARCH <br /> 3 S" vloc¢ C-ii <br /> 5nil <br /> 115-7 t <br /> ell <br /> ENVIRONMENTAL HEALTH DIVISION FILES� � G <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON LOP) ❑ FOOD FACILITY 0 SOUR WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGmEMOVAL) 0 DOG KENNEL Q DAIRY <br /> J�HAZARDOUS WASTE GENERATOR O CHICKEN RANCH . ❑ PKG TREATMeW PLANT <br /> Q TIERED PERMITTED FACILITY CI MOTELMOTEL ❑ PUMPER TRUCKIYARD/CHEM TOILET^, <br /> C) TATTOOIBODY PEIRCtNG 0 POOIJSPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 13 PU13UC WATER SYSTEM Ig'OTHER(PLCASt 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. EHD will notify the applicant if anyEHD 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 END 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 END 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 END 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 O1 f~ - <br />