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-OCT-17-2002 14:53 SHAW E AND I SAN JOSE r 408 437 9526 P.02i02 <br /> VAYE ueCiwED <br /> eke X00 NuMalla <br /> SAN-dOAQUIN COUNTYPUBLIC HEALThwtERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WESER AVENUE, <br /> THIRD Ft.00F2 <br /> STOCKTON CA 95202 <br /> 0 bi (209)ase-3420 OCT 1 7 2002 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTj- -/ 1 HL/�`A`prir►1 hf��I T SE �rI{ S <br /> Z!�/ 0 a 0.16BUSINESSfAGENCY -SAa"/ <br /> ADDRESS JJ q.�1 06 1,13 a 40.aaz4vr., jos e4, C. 9S%j/ <br /> y ■ <br /> PHONE y© Y- 3SO--5-e 77 FAt`:SiM11.E y049 <br /> TENTATIVE*APPOINTMENT DATE y12 TIME <br /> (Please give r to 10 bysinmiss from dW of application subntlltal) <br /> CHECK BOX TO EXPEDITE REgUESl-509.00 FEE- ED IN Z BUSWE5SDAYS <br /> RE • <br /> SIGNATURE OF APPLICANT DATE /61/—//7 " <br /> FILE ADDRESS THIS sine IEH6 STAFF USti ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> Sb u.+ GG B s <br /> S r <br /> O u' S <br /> .2 4C,oa,%hvs <br /> S G <br /> D Gi4 <br /> 74 <br /> sCkha <br /> ENVIRONMENTAL.HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD KAC11-lYY O SOLiD WASTE VEHICLE <br /> UNDERGROUNO TANK(MONITORINGIREILOVAL) tD DOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH O PUMPER TRUCKIATMENT PLANT - <br /> O TIERED PERMITTED FACILITY Q MOTELIMOTEL O PUMPER TRUCKhARO/C►1CM TOILETS <br /> G LANO USE APPLICATION <br /> a TATroo/BOOY PEiRGING O POOUSPA O OTHER(PLEAStSPEWtY ABOY <br /> E) <br /> ❑ EatCAL WASTE FACILITY D PUBLIC WATER SYSEM <br /> 1. List up to ton addresses In the space above. Select the types)of files from the list above by checking <br /> the appropriato box(es). At least ono file type MUST be selected. Fax to(ZOJ)464.0939 or mall to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EHp tiles exist. An appointmettt 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 fora maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file.that is actively bbing worked on by EHD staff may not be immediately available fel 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 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 pin will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TiMi= _ <br /> DATA=CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DA1 E A. <br /> TOTAL P.02 <br />