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'—"-- Jun 2S 02 OH: 4Ga P. 2 <br /> 06/25/2002 08:26 7)138 ENVIRONMENTA _fALTH PAGE 01 <br /> `'SAN JOAQUIN COUNTYPUBLIC HEALTH_SERIACES Oro pG MWaER <br /> o ENVIRONMENTAL HEALTH DIVISION <br /> Z y 304 FAST WEBER AVENUE,THIRD FLOOR I/ <br /> STOCKTON CA 95202 VVV <br /> (209)468.3420 <br /> .�j <br /> PUBLIC RECORDS RELEASEE)APPLICATION <br /> APPLICANT &b Ki,Y1<enc�a 11 BUSINESSIAGENCY_ /A-Z d✓.QTct�� <br /> ADDRESS L 2 SS Mr :e 1l U f yr.i S 'k�c !7 Glen r1nt /fill Cf '9q5 3 <br /> PHONE of-2-3 3 3 <br /> FACSIMILE q2-S ' C:`i - 1')-5-`j <br /> TENTATIVE'APPOINTMENT DATE .. 1 0�41 ++ <br /> TIME h C[SNL. <br /> (Phaco N#710/10 bu 1 s dwa f dale appIICM subm111a1J <br /> CHECK BOX TO EXPEDITE REOURB9.00 FE -REQUEST L;S �BUS4I DAYS <br /> SIGNATURE OF APPLICANT /[��-6„`� �� „ (( DATE &/2 Y/0-L, <br /> , <br /> FILE ADDRESS THIS SIDE EHD STAFF USC ONLY <br /> PROGRAM FLEMENT3 SEARCH <br /> 1- 1 Lel v k4c.1 CA <br /> 14'7 o I:�CK� <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ■ UNDERGROUND TANK(USTI CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT a] SOLID WASTE FACILITY <br /> IM OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> fD UNDERGROUND TANK(MONITORINGiREMOVAL) O DOG KENNEL ❑ DAIRY Q <br /> D HAZARDOUS WASTE GENERATOR D CHICKEN RANCH 0 PKG TREATMENT PLANTfj`1/ <br /> © TIERED PERMITTED FACILITY ❑ MOTELIHOTEL O PUMPER TRIICKIYARDICHEM TOILETTES <br /> Cl ITl./1i" <br /> TATTOOMODY PEIRCWG O P000SPA i LAND USE APPLICATION SES <br /> ❑ MEDICAL WASTE FACILITY O PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking. <br /> the appropriate box(es). Al least one filo typo MUST be selected. Fax to(209)464.0138 or mail to the l <br /> address Indicated above. ` A <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 ten(10) days after receipt of application. The files � D, l <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 being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. I^A <br /> 4. Any file not returned in the same condition as released will be reorganized by END staff at the expense (' <br /> of the applicant Future rile reviews by tho same applicant may require a$89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must he 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 INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />