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-JUL-11-03 FRI 01 :59 PM SAIC - SACRAMENTO FAX NO. 916 974 8830 P, 02 <br /> aTE eecervm <br /> END LOG NIwaEN <br /> SAN JOAQUIN COUNTY <br /> JUL "i Z003 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR I <br /> EI'JV11jU)j:;'4t.1`11i i ;LALTN STOCKTON CA 95202 <br /> (209)4683420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT� /12 25P-- -e— BUSINESSIAGENCY /Fi7 �_f?,is:�GnT�ic�m��, et rr LAP.D <br /> ADDRESS <br /> i <br /> PHONECY/G) '9W—LTZV1 - FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> �7j/ (Please give 7 to 10 business days from date of application submittal) • ��`'` � <br /> E CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> DDRE THIS SIDE EHD STAFF USE ONLY <br /> yPROGRAM ELEMENTS SEARCH <br /> O 19L— <br /> a8� <br /> D <br /> .J <br /> 3Q 6 <br /> /3 soloENVIRONMENTAL HEALTH DIVISION FILES <br /> ❑11RDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> 121,OTHER CUANUP SITE(NON-LOP) 0 FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> 0 UNDERGROUND TANK(MONITORINGIREMOVAL) , 0 DOG KENNEL ❑ DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARD/CHEM TOILETS <br /> 0 TATTOOBODY PEIRCING ❑ POOU$PA 0 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY G OTHER(PLEASE SPECIFY) <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 any EHD 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 EHD 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 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 /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENTDATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES N0 REVIEW DATE <br /> eno+aozan� -- <br /> znvsom <br />