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.tun 25 02 08: 46a p. 2 <br /> 06/25/2002 00:26 0138 ENVIRONMENTA, iALTH PAGE 01 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH'SERVICES \��_ OP lewerk <br /> ENVIRONMENTAL HEALTH DIVISION laia� <br /> y 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 V <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ICP <br /> APPLICANT���'J K ,ida- II 0USINESSIAGENCY_.7A.9 .p <br /> ADDRESS. L2-SS Mcix-zl( , k0% i±e !70 Pl&t If It C_j-�9VSr— — <br /> PHONE 9;LS —CO2-2-73'3 FACSIMILE ci7-S - 6f: <br /> TENTATIVE'APPOINTMENT DATE , °•;h <br /> TIME _- <br /> (Pte w N�o/LDbu 1 3deyaf data PPIWH eubmlllal) <br /> CHECK BOX TO EXPEDITE REQU BS.aa FE -REQUEST IS �BUS1 ss DAYS <br /> SIGNATURE OF APPLICANT CL+ . L DATE (0/1` i4O7_ �� • <br /> FILE ADDRESS THIS SIDE END STAFF USI:ONLY ILj <br /> PROGRAM ELEMENTS SEARCH <br /> �- 1 LcL v kEc.l CA <br /> - <br /> �- r00-05 <br /> F-_ <br /> ENVIRONMENTAL HEALTH DIVISION FILES J �� <br /> ■ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT m SOLID WASTE FACILITY <br /> 0 OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> 0 UNDERGROUND TANK(MONITORINGIREMOVAL) O DOG KENNEL ❑ DAIRY <br /> O HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH . 0 PKG TREATMENT PLANTf'40 Q , <br /> O TIERED PERMITTED FACILITY O MOTEUHOTEL O PUMPER TRUCH/YARDICHEM TOILETS 0 <br /> O TATTOOMODY PEIRCING ❑ POOUSPA a LAND USE APPLICATION SITES .3 <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY ABOVE) <br /> 1. -List up to ten addresses In the space above. Select the type(s)of tiles from the list above by Chacking, <br /> the appropriate box(es). Al least one file typo MUST be selected. Fax to(209)464-0138 or mail to the v <br /> address Indicated above. } <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 � yl/_ <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 roview. A new <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 I� <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 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 />