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05/09/2003 14:48 92555174F4 ENVIROFORENSICS PAGE 01./01 <br /> DATE MCC' v <br /> SAN JOAQUIN COUNTY r,�o LOG Nu <br /> ENVIRONMENTAL HEALTH DEPARTMENT -`" <br /> 304 EAST WEBER AVENUE,THIRD FLOOR V <br /> STOCKTON CA 95202 <br /> (209)466-3420 RRR <br /> 'PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �: BUSINESS(AGENCY <br /> ADDRESS /lk7S �.,�.\L.t P.\fir] . S1- A-2pG C" L'W—Ldlj_. 44-gGf- G` <br /> PHONE C%2T) 55 1 - rW7 2_ FACSIMILE S92S) 5,S/ I /� \ <br /> TENTATIVE'APPOINTMENT DATE 'ru +. f�4Y 15 k t TIME �Ig;i2 1 ri _t�_ 30-3 <br /> (Please give 7 to TD buslness tLiys fmm dMe of application submlttai) q <br /> L <br /> CHECK BOX TO EXPEDITE REQUEST•$89.00 EQUE&r PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT -- DATIz _.S-9"a <br /> FILE ADDRESS THIS SIDI!EI•ID S1 AFF VSE ONLY <br /> PROGRAM FLEM INTL'_SEARCH <br /> e �]\vi.1 <f •4cT_:=Jays` __._ — <br /> J ENVIRONMENTAL HEALTH DIVISION FILETS <br /> (NON-LOP) <br /> TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT EI SOLID NAST I?FAC:IIJTY <br /> THER CLEANUP SITE(NONOP) O FOOD FACILITY Cl SOLID WAS-I G VEHICLE <br /> UNDERGROUND TANK(MONITORINGMEMOVAL) 0 DOG KENNEL Cl DAORY <br /> 0 HAZARDOUS WASTE GENERATOR O CHICKEN RANCH El PKC;THFA71 I ENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTELIHOTEL 0 PUtIPE R TRUCK/YARD/CHEM TOILETS <br /> 0 TATTOOIBOOYPEIRCING 0 POOLMS A Cl LF.D USE A'PLICA:nON SrrE:t <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY)--.—.- <br /> 1. <br /> PECIFY) —._.-1. List up to ten addresses in the apace 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 2.4�136 or mail to the <br /> address indicated above <br /> 2. EHD will notify the applicant if any EHD files P-xist. An appointment for r view will ba 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 schedulod <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immodiatwly 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 az released will be reorganlzod by EAD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $119.011 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 IN171A L5 _ <br /> REVIEWED YES NO REVIEW DATE <br /> r+waaor <br />