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03/04/2003 10:58 46401; ENVIRONMENTAL F�TH PAGE 01 . <br /> via WG NUl�bcb <br /> ='[SAN JOAQUIN,COUNITPUBLIC HEALTH SERVICES <br /> =- ENVIRONMENTAL HEALTH DIVISION <br /> v . 304 EAST WEBER AVENUE;T){IRD FLOOR I "� <br /> MAR. Q 4 �QQ <br /> STOCKTON CA 95202 I / <br /> h1U (209) 4X48-3420 <br /> cr <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCAHT� r( LIQ/ �Tf�ir f�ON BUSINESSIAG@NCY I�rT"L ArsSpGfP.T751 <br /> ADDRESS 3''(000 M�r�/SON AtlE� SLl/TEC d/U22/?d!`f//p/aHG�it'Q5; Com{ 95�,1�d <br /> PHONErN1(03t31?-OSr77 FALSSINe_E_I9/�).33 �O7 vY y _ <br /> TENTATIVE"APPOINTMENrbATEar AL1lWiAf 7. a40 TIME /Z•172 PV4- <br /> • (Plbasa glue 7 to!b bualMss da7s from data vI bppllwU¢a submltlaf) <br /> 13--cmCK BOX TO EXPEDITE REQ T-$W.00 FEE—REQUESTPROCESSED IN a BUSINESS DAYS' <br /> "SIGNATURE OF APPLICANDATE` <br /> psi ire <br /> FILE ADDRESS THIS SIDE ENO STAPF USE ONLY <br /> _ PROGRAM ELEMarl S SEARCH <br /> 760 N6Z&13 3GYi t- <br /> 2:720 61&9 Al-Yi smerAy. <br /> 270 C N <br /> Culd BLL 5"4C-RW, Cr4-IZ5--^ J <br /> G�li d[d s CtTvrY. `'S r __ <br /> RIPE S7DCC7dN Com¢ + i, LIlr. <br /> ENVIRONMENTAL HEALTH DIVISION FILESus <br /> W UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT D SOLID WASTE FACILrry <br /> )6(OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY O SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORfNGMEMOVAL) 07 DOG KENNEL O DA114Y <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH O PKG TREATMENT PLANT , <br /> Q TIERED PERMITTED FACILITY 4 MOTEUHOTEL 17 PUMPER TRLICKIYARWCHEM TOILETS <br /> O TATTOOMODY PEIRCING O POOUSPA 'r<LAND USE A11PLn:AT10N OnT5 <br /> O MEDICAL WASTE FACILITY O OTHER(PLEAI:E SPECIFY ABOVE) <br /> 1. List up to ton addresses In the space above. Select the type(s)of filas from the list above or=e the appropriate box(es). At(east one file typo MUST be selected. Fax to (209)4414.0138 or mail till the <br /> r address indicated above. <br /> 2 EHD wilt notify tho applicant if any EHD files exist, An appointment for review mil)be confirmed <br /> approximately five business days but no later than Ort-(10)days after receipt of application. Tho files <br /> will be held fora maximym of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A Fite that Js actively being worked on by EHD staff may not be Immediately available for review. A new <br /> application may be submitted when the fila is available, <br /> .4. Any file not returnod in the same condition as released will b0 reorganized by EHD staff at the expense <br /> Of.the applicant Future rite reviews by the same applicant may require a $(49.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates pmust rh wilt <br /> be econfirmedpces with EHD staff. <br /> G. Applications n:ccivetl atter 3:00 pm w11f bo processed the next business day. , °� • <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED . PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE " ' <br />