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DEC-12-2001 Y6:40 FROM:TLJINI`NG LADS INC. 5592687126 T❑:831 333 1182 P.001/001 ) <br /> 10-17-2@20 10:26111.1 , <br /> TO ����- 15592,587126 P,02 <br /> SAN JOA UIN COUNTYPU13LIC HEALTH SERVICES kMULU NVMV k ��� <br /> 11 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EASTWEBER AVENUE,THIRO FLOOR <br /> STOCKTON CA 95202 <br /> . (209)466,9420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> } <br /> APPLICANT t _)'/i f eAe161'S gU51NESw'AGENGT �- <br /> in lr� <br /> ADD SS .S, / Fr csv o <br /> F;S� <br /> PHO � c�GS' 70>-/ FACSIMILE 3_5`5 _26k - 7/,2/n <br /> TENTATIVE'APPOINTMENT DATE -,/-0/ TIME <br /> (Please YNe 7 to 10 business days froae sate of appllc t;"submittal <br /> 6MI17-S 31 Ll <br /> CHECK BOX TO EXPEDITE REQUEST-§67.00 FEE-RFQIUES7PR ESSEO IN a BUSINESS DAYS <br /> SIGNATURE OF APPLICANT c, ,f �^ . �1/-L-C.g <.�-- . DATE Ate' <br /> FILE ADDRESS THIS SIDE ENO STAFF USE ONLY <br /> PROGRAM EtAMENTS SEARCH <br /> ate T aG cE- rjvt� d usr . _ <br /> 3a1 - rx s -'f zg53 MI_ <br /> lA� ;-0 3 E- +4. <br /> Ski. tt r ."-r Sp w+ <br /> 1 �Ic.+.�•iA« 3 E fi+-e�.t Luse 3528' r-'L - <br /> •-ftl rSKpn �C mu:/K�.�.1/Fa1'f(-.1 fy3�. ) •F•-yFra cY CJ.LST '1�-t� 5S <br /> ds 4 lilt' S-ky�<_t LI(ST 3S ^ I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TAMC(UST)CLEANUP SITE(LDP) ❑ HOUSING ABATEMENT O SOLD WASTE FACILITY j <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEWLE <br /> UNDERGROUND TANK(NONRORINGfREMOVAL) O nOG KENNEL 11 DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH Cl PKG TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY ❑ MOTELIHOTBL ❑ PUMPERTRUCKNARmOHENI TOILETS <br /> C YA7TooiBODY PEIRCING O POOt1SPA ❑ LAND USE APPLICATION SMES <br /> C MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM _-FT OTHER(PLEASE SPECIFYABOVE) <br /> rrwr.ardn.$ glol I (-- <br /> 4. List up to ten addresses in the space above. Select the type(s)of files from the Peat above by checldng <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 12 091 464-011118 or mail to the <br /> address indicated above. <br /> 2. END will notify the applicant if any END 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 rites <br /> will bt held for a maximum of fire business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by END staff may not be immediately available for review, A new <br /> application may be submitted when the file is avallable. <br /> 4- Any tilt not returned in the same condition as released will be reorganized by END staff at the aarpenso <br /> of the applicant. Future rife reviews by the Same applicant may require a$87.00 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 businoss day. <br /> I <br /> CONFIRMED APPOINTMENT DATE TIME <br /> I <br /> PATE CONFIRMED PHONE FAX INITIALS <br /> I <br /> IkEVIEWED YES NO REVIEW DATE <br /> ee u no <br /> r TOTAL P.02 4' <br /> I <br /> I <br />