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• � S <br /> 08/16/2002 11:44 209-m',9-2225 MODESTO ATC PACE 01 <br /> SAN JOAQUIN COUNTYPUSUC HEALTH SERVICESLike <br /> {,x.1.1 <br /> ENVIRONMENTAL HEALTH DIVISION 1 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> PUBLIC RECORDS�REL3EASE APPLICATION AUG 18 2002 <br /> APPLICANT D Ir,tw G,A �-1��.� OUSINCSSfAGENCY � � �►-�t tea s ENVIRONMENTREADH <br /> ADDRESS l ltd- "Al- Prkvvv. .I�ut.n.rc S.y:4kICES <br /> � A00"4--o q4 It 5 3S'I <br /> PHONE -L-UL 1 FACSIMILE "L<14 -4.1- 7-Z'2 7 <br /> TEN'TA'TIVE`APPOINTMENT DATE 0'8 h r} L1� <br /> (Please 61V 7 TIME <br /> � ro c of l lion 3 <br /> ubm�iW�11) <br /> CHF -REQUEST-$a7. 0F VEQU8STf3Ot1;s1#DaHU.51 EsS DAYS <br /> � <br /> - <br /> SIGNATURE OF APPLICANT yVR DATE <br /> FILE ADDRESS THIS SIDE CHD STAFF USL•ONLY <br /> ( y PROGRAM ELEMENTS SEARCH <br /> .Tf%( 61V . 54G�x a p <br /> 4 ttlao of 61 C_-A lc <br /> I z W s} <3%* <br /> .jA 4t hr+�rt Ma.�4tcas <br /> kkW4 132 <br /> IL S W e. (f + S+I'te+- i oc % 0 <br /> l►113f 04.4 r C>1a cK�4✓1 4 <br /> i <br /> '{ �a1E CL�,�Ltr a ��S.K.1rp�► y yZ <br /> %�_50 EoISQI <br /> �4- .1 �,w� z.v 5�actc�-C�• <br /> ENV IRON M1~N7AL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 4 FOOD FACILITY f] SOLID WASTE VEHICLE <br /> ❑ UNDERGROUND TANK(MONITORINGIRE•MOVAL) ❑ DOG KENNEL t7 DAIRY <br /> O HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 4 PKC;TREATMENT PLANT <br /> O TIERED PE=RMITTgO FACILITY ❑' MOTELJHOTEI- ❑ PlJMPEri rRUCKlYAfiD1CHIwM TOILETSC3 TATTOQlSODY PIiIKCiNG O POOU$PA O LAND USE APPLICATION SITES <br /> ❑ MEDICAL.WASTE!FACILITY ❑ PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY.ABOVE) <br /> �. List up,to ten addresses in 1110 space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one fil <br /> address indicated above a type MUST be selected. Fax to (2021464-0138 or mail to the <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 ton(10)days after receipt of application.The files <br /> will be hOd 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 fiew <br /> apAlication May be submitted when the file is available. <br /> 4• Any file not returned in tha same condition as release«will be reorganized by EHD staff at the expense <br /> Of the applicant, Futuro file reviews by the same UopllCant may require a$117.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be Confirmed with EHD staff. <br /> 8. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX <br /> INITIALS <br /> REVIEWED YES NO <br /> REVIEW PATE <br /> EH 6 W 0 100 <br />