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Jan 30 03 10: 39a RDi =nvironmental Group 916-J -6688 p. l <br /> �J Jb-n7<J1 <br /> 1015*_Z�bYPI r-KLb%VV IU - 1 — - — <br /> (( (( 1.SAN JOAQUIN COUNTYPU13LIC HEALTH SERVICES <br /> ENVIRONrv1ENTAL HEALTH DIVISION <br /> 304 EAST.WEBER AVENUE,THIRD FLOOR <br /> :3 () f <br /> JAN 2003 STOCKTONCA05202 <br /> (209)468-3420 <br /> I P�'V�hLII�M!:IU+ HPALTH PUBLIC RECORDS RELEASE APPLICATION <br /> Lren.:;_. <br /> 1. -u �u� ,� �_ i•,•.�i i. , <br /> APPLICANT S'fetJfi Able BUSINESSIAGENCY ic�4L. <br /> AI)VZ' I=Udlbdl4�l9ey 1 _ <br /> ADDRESS I425, I✓eF �2ik I)IiL% -i#�Ut <br /> RI6 qZt-c�Goo y 3 <br /> PHCNE. FACSIMILE 71L 6¢0 -C 6 j'r <br /> 1 TENTATIVE'APPOINTMENTDATL• ��V►RO�I('dlEidi fiCrr\LIN <br /> TIME �IiUFS Z-7� <br /> � (plea:c rrve7 to 70 business Mays from dale of application submittal) iMmv -� <br /> CHECK BOX TO EXPEDITE RFQUEST-$117.00 FEE-RE-QUEST PROCESSED IN 3 BUSINESS DAYS <br /> UP3 ,4 <br /> SIGNATURE OF APPLICANT SVe Ask 3 DATE '1`v�Urc � f�3��a3 <br /> 1 — <br /> i FILE ADDRESS �THIS SIDE EHD STAFF;USE ONLY I <br /> PROGRAM L-LEMENTS'SEARCFI <br /> l• 28 T� LkIve �Yl a <br /> 3400 4a4 <br /> 3cOS ESI►' �lc`C •� � , <br /> Tewr-e_ Ed <br /> 7 12� Oo ? <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 4d UNOEROROUND TANK tUST)CLEANUP SITE(LOP). 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> m OTHER CLEANUP SITE(NON-LOP) O FOOD FACILrIY D SOLID WASTE VEHICLE <br /> Cj UN#RGROUND TANK(MONITORING/REMOVAL) O DOG KENNEL 0 DAIRY <br /> Gr HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH O PKG•TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY 10 MO7E'LIHOTEL O PUMPER TRUGKffARD/CHEM TOILETS <br /> O TAT T OOrBODY PEIRCING O POOUSPA• O LAND USE APPLICATION SITES <br /> 0 'MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY ABOVE) <br /> 1, List up to ten addresses:in the space above. Select the types) of files from the list above by checking <br /> the appropriate box(es).:Ai(east one file type MUST be selected. Fax to (209)464-0138 or mail to the. <br /> address indigated above. <br /> 2. EHD will notify the applicant if any END files exist. An appointment for review will ire 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 busiriess-days for review.'Appointments should be scheduled <br /> accordingly. <br /> 3. i A file that is activelybeing worked on by EHD staff may not be immediatCty available for review. Anew <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 experisa , <br /> of the applicant. Future file reviews by the same applicant may require;1487.00 deposit prior to review. <br /> S. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> Applica$ons received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME ' <br /> IIATE'CONFIRMED PHONE FAX INITIALS <br /> I REV19WED YES NO <br /> REVIEW DATE <br /> n oo al.00rowroo TOTAL P.01 <br /> 1 <br /> 1 <br />