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A• <br /> Jun 10 02 09: 25a reoTekUSR 71x5434723 p. 1 <br /> w 06/0712atr2 28:05 4541)1.� ENVIRONMENTAL HEALTH PACE 02 <br /> OAn It!ClwkG END I,OG MANUA <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> C�U1J� D <br /> ENVIRONMENTAL HEALTH DIVISION Rl if IE <br /> 304 EAST WESER AVENUE,TMIRD FLOOR <br /> STOCKTON CA 95202 JUN 1 0 2002 <br /> (208)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION ENT HEALTH <br /> APPLICAFIT � aUSrN>SSIAGENCY PERMIT/SERVICES <br /> ADDRESS i -t ` SAtQ <br /> PHONE - q 2-2- FAGSIMIILE `k <br /> CE-Li— (-711+) _715-(o050 <br /> TENTATIVE'APPOINTMENT DATE (} u.r-- ,+ LM' r< � D.Z�_ Twe -L-oo _ --- - <br /> IPkase give a 14 hu assxhom dpt��iypllrst <br /> ( mlttal)� ?7T <br /> CHECK BOX TO EXPEIQUES�Ft EOlEEII 0DAYS <br /> SIGNATURE OF APPLICANT _ yL(/T `. DATE (r,-1 r1-d2 <br /> FILE ADDRESS THIS SIDE ERV STAFF USE ONLY <br /> PnOGRAM ELEMENTS SEARCH <br /> 3 b3 o f She 9 5U <br /> COD <br /> e>1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES Q <br /> 'y4'LINDERGROUNMt)TANK(USTI CLEANUP SITE(LUPI'A HOUSING ABATEIMSENT )�SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) RE FOOD FAC1UTY SOLID WAST)~VEHICLE <br /> UWFR43ROUND TANK(tMSONITORSNWRENOVAL) A 004 KENNEL DAIRY 11I111LLLCCC <br /> HAZARDOUS WASTE GRNERATORCHICKEN RANCH PKG TREATMENT PLANT 1 <br /> TIEREO PERtAITTEO FAClLFYY MOTELtHOTCL tpumpgpt IY <br /> TRUGKARDlCHENI T011 TS 1 <br /> TATTOOIBODY PEIRCING POOL/SPA LAND USE APPLICATION BITES �f <br /> Pk MEDICAL WASTE FACILITY PUBLIC WATER SYSTEM 7A OTHER(PLEASE SPECIFY AaOVE) U A D <br /> 9. List up to ten addresses in the space above. Select the typo(&)of files from the list above by Checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax o(2091464-0138 or mail to the , <br /> Address Indicated above, 11 k- <br /> 2. EHD will notify the applicant it any EHD riles exist. An appointment for review will be Confirmed <br /> approKimately five business days but no later than ten(10)days after receipt of appllcation. The files <br /> will be held far a maximum of flvo business days fnr review. Appointments should be scheduled <br /> accordingly- A , _ - <br /> 3. A file that is actively being worked on by EMD st""may not by Immediately available for review. A new ,A�V�� <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 / ' Z <br /> of the applicant Future filo reviews by the some applicant may require a$89.00 deposit prior to review. (� <br /> 5. 'TENTATIVE appointment dates must be confirmed with EMD 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 /> REVIEWLb YES_ NO— -- - RE-VIEVILOATE_ <br /> ATE- <br /> Post-litNote 7G71 D°k G q�apen� <br /> is Flom <br /> LolVEpL Ca. [.] L) _ <br /> m"N <br /> D <br /> ram <br />