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4 ' <br /> 05/24/2003 10:01 , 209-579-22`'5 MODESTO ATC - - PAGE 01 <br /> opt:rwce&W - ° 'f •' L) rye too wAap <br /> SAN <br /> JOAQUIN COUNTY <br /> MAY <br /> 4 1003 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE.THIRD FLOOR <br /> STOCKTON CA 95202. <br /> `:: :• ir"t-') (209)488-3420 <br /> PUBLIC RECORDS RELEASE APPLIGIVIrION <br /> APPLICANT UftW av% 1"rttl�,n BUSINESSIAiiENCY /`STC <br /> PHONa FAMIMIL!? <br /> TENTATIVE"APPOINTMENT DATE TIME [O C' 7Y)3 <br /> (P%N a give T to 10 business drys from dais ofappticattan eulimnw) <br /> 0 CHECK BOX TO EXPEDITE REQUEST»Ua.00 FE -REQUEST PROCESSED IN!BUSINESS DAYS <br /> SIGNATURE OF APPLICANT I�►Mr I�b�-� J ' DATE <br /> FILE ADDRESS _ THIS 8101:EHr,STAFF USE ONLY <br /> r*ROGIa�;�.El EAi1ENT6 semmi <br /> ! 5 �n .-�t•� <br /> Am }.wok L ? .. . ._ <br /> 2333 T'ot-�, boa T,ra� <br /> yea;o M o 4� WS cs M�-tC A, <br /> 5 a GAy�•t C[.t Q(Jtl. 5 C rC4o.� -51211, <br /> y /Noc t d o k S-f^&JJ C,4AA+� <br /> (i, PTU t A.rc a FQ c T— <br /> ENVIRONMENTAL.HEALTH DIVISION FILES <br /> -PeUNDERGROUND TANK(UST)CLEANUP 8rIE(LOP) 0 MWSII-10 ABATEMENT O VOLID WASTE FACILITY <br /> 0 OTHER CLEANUP SITE(NoN4LOP) 0 FOOD FACRITY ❑ :101.10 M,f,%ST9 VEHICLE <br /> 0 UNDERGROUND TANK(MONITORWGMEMOVAL) 0 DOG KriNNEL O (Iffly <br /> O HAZARDOUS wASTE GENERATOR 0 CHICKEN RANCH ❑ PKO M.AIMENT PLANT <br /> 0 TIERED PERMrTTED FACILITY O NI=L1MOT9L 0 PUMPED TRUCKIYARDICFIEM TOILETS <br /> ❑ TAT roomODY PEIRCINa C1 POOUI"SPA 0 IAND USE APPLICATION 31TES <br /> d MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY_,_ <br /> I. List up to ton addresses in the space above. Select the type(s)of files from the 11vt above by checking <br /> the appropriate box(os). At least one file type MUST be selected. EM.Tgj&9)10-0138 or mail to the <br /> addroll IVAlcated above. <br /> 2. EMD will notify the applicant If any EHD files exist. An appointment for revitrn will be conflrTned <br /> approximately flue business days but no later than ten(10)days niter reaeipf.of application. The flies <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 Teeing worked an by EHU staff may not be lmmedlately uvallable for review. A new <br /> application may be submitted when the file hi available. <br /> 4. Any file not returned in the same condition as released will be reargariizi!id by EWD stuff at the expense <br /> of the applicant. Future file reviews by the snme applicant may rerqulrD all $89.00 dmposit 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 /> ,CONIPIFWMM Apmm.m ErNT-DATe <br /> DATE COWIFI lED -PHONE FAX' *II TIAL11 <br /> Dwill"W NO Rsld�flf lii/t'1!'lE" <br /> nr/sces <br />