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f 07/15/2002 14:35 2094�y11R AGE STOCKTON 'c A PAGE 01/01 <br /> DATF,RECEIVED ( � EHD LDO NUMBER <br /> SAN JOAQUIN COUNTYPU13LIC HEALTH�ERVICES <br /> ENVIRONMENTAL HEALTH DIVISIO�•���1� <br /> 304 EAST WEBER AVENUE,THIRD FLOOnV Ali �rnl r <br /> tj STOCKTON CA 95202 lL/J <br /> W <br /> (los)468,3420LUBLIC RECORDS RELEASE APPLICATION1G 2002APBUSINESWAGENCY NTNEALiH <br /> A <br /> ES <br /> ADDRESS 23L//yy11 /� Q - ry _ ... RV1C <br /> PHONE _ dQ9) '66 ZOt0� / //' <br /> FACSIMILE_ ///� ^^ <br /> MM U-SH <br /> TENTATIVE*APPOINTMENT DATE / IV H <br /> d O TIME <br /> (Ploas <br /> 7t 106 <br /> CHECK BOX TO EXPEDITE REgUE a 91 00 F�' q P from of appl tion submittal) � <br /> LAIN 3 NESS OAVS /y <br /> SIGNATURE OF APPLICANT GATE / �S j <br /> FILE ADDRESS + <br /> I <br /> -33 6)MndJD <br /> fl+E N <br /> vsrcmoli <br /> s a i <br /> E . I I T' n <br /> 13 5 <br /> 1 5`h E1 c A 1 <br /> MCC Uf c <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTELIHOTEL 0 PUMPER TRUCKI YARnICHEMTOILETS <br /> O TATTOOIBODY PEIRCING - 0 POOLISPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ton 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. FaxL�2091 4fi4 0938 ar mail to the0938 ar mail to the <br /> address Indicated 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 an by EHD staff may not be immediately 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 expense <br /> of the applicant Future file reviews by the same applicant may require a $78.00 deposit prior to review. <br /> 5. '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 APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EN DD a Dirowo - <br />