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FROM NOR Environmental <br /> VAIN RkI'4NLa PHONE N0. : 209 369 4228 <br /> Ls Mar. 12 2003 01:35PM P2 <br /> • �F�;ll it .[ /IN JOAQUIN COUNTyPUBLIC HEALTH SERVICES EHD I,OG NI'Imm <br /> v ENVIRONMENTAL HEALTH DIVISION <br /> MAR 1 2 2003 304 EAST WEBER AVENUE,THIRD FLOOR)468-3420 ['' ' <br /> S70CKTON CA 95202 r L <br /> ENVIRONMENT HEA ELIC RECORDS9RELEASE APPLICATION <br /> n C <br /> APPLICANT AUN Pj:YCCO BUSINESS/AGENCY Vt7DIli r 0 A i✓NVITz0N111Ef�lT rL <br /> ADDRESS Z2Z •kDLODE <br /> PHONE ZQ :14"R -Lta-2,0 FACSIMILE (101-) <br /> TENTATIVE,..APPOINTMENT 13ATE y.�/ <br /> (Please give 7 fo to bust s d 3 TIME t) :6-O "o.ary� 3�`J �1aj/ l <br /> aYs from date of appilc tion submittal) V <br /> CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �1 <br /> DATE <br /> FILE ADDRESS THIS SIDE EHWi FF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 0 9 acl�Tonc S X152 t 5 '- <br /> tlSOS- rJ. Je. "ronL <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT ❑ SOLID WASTE FACILDY <br /> 51 OTHER CLEANUP SITE(NON-LOP) ❑ F000 FACILITY ❑ S <br /> W UNDERGROUND TANK(MONITORINCIREMOVAL) ❑ DOG KENNEL OLID WASTE VEHICLE <br /> Gr HAZARDOUS WASTE GENERATOR ❑ ❑ DAIRY <br /> CR TIERED PERMITTED FACILITY CHICKEN RANCH 19 PKG TREAITMENT PLANT '• I <br /> ❑ TAT PEIRCING ❑ MOTEUHOTEL IPC PUMPEf(77LVCK/YARD/CHEM YOILETS <br /> ❑ MEDICAL WASTE FACILITY ❑ POOL/SPA 54 LAND U Ef.N�PUCATON SITES .( <br /> ¢Q PUBLIC WATER SYSTEM Gf OTHER(P4FASE SPECIFY ABOVE) ,I , •}�it' <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from th-9 list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 72091464-0138 or mail to the <br /> address indicated above. <br /> 2• EHD will notify the applicant if any EHD files exist. An appointment fe r review Will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. 7hcD file t / <br /> will be held for a maximum of five business days for review. Appointments s'Iould be scheduled 3 l <br /> accordingly. /L/LLD Lipp f+ <br /> 3. A file that Is actively being worked on b EHD staff <br /> Y 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 expanse <br /> Of the applicant. Future file reviews by the same applicant may require a $89.00 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 _ <br /> INTI"IALS <br /> REVIEWED <br /> M YES NO REVIEW DATE <br />