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y SAN JOAQUIN COUNTY <br /> EN ONMENTAL HEALTH DEPARTNIL7,,T <br /> 4 EAST WEBER AVENUE, THIRD FLOOR <br /> jUL 0 8 2003 STOCKTON CA 95202 <br /> (209) 468-3420 464 ~ ( 3P, <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ) <br /> APPLICANT P&V LHr:5:SAtl�7 1 BUSINESSIAGENCY ��� Ca�V L(LT N <br /> ADDRESS - O • So Z( R 1-0 GK /7.j// 3 0!' q ■_ �� � �- <br /> lij <br /> PHONL �r G - FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE TIME _ <br /> (Please give 7 to 10 business days from date of application submittal) <br /> 171 3 <br /> CHECK BOX TO EXPEDITE REQUEST- t3 .00 FEE ST PROCESSED IN 3 BUSINESS DAYS r <br /> r� <br /> SIGNATURE OF APPLICANT DATEda <br /> 1 <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> o2rx arl CKuRcfr - 7 o W f c Kv a.� ti�/� <br /> GAL-V,AK O(OL-E7 - 4&Z 1 N• • 2. ?q A Pe <br /> >rA R C-RAE O►rJ. uRC - 7l . LoWEn _ U ` <br /> -O <br /> ANY i+IELL 404r5 Ae4P SEPri5Y6re !' &izauNO 1 _ - <br /> /�oDO VALPIG,�51 <br /> z700o - 29oao e01ZA41- 4q1-c-oLJ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑❑ SOLID WASTE FACILITY <br /> M OTHER CLEANUP SITE (NON-LOP ❑ FOOD FACILITY ❑, SOLID WASTE VEHICLE <br /> UNDERGROUND TANK MONITORINGIREMOVAL) ❑ DOG KENNEL DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH -0 PKG TREATMENT PLANT K O I f fy`G <br /> t7 TIERED PERMITTED FACILITY © MOTEL/HOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS r' <br /> ❑ TATTO018ODY PEIRCING ❑ POOL/SPA d LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) r/ <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). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the <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 <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. <br /> 4_ Any file not returned in the same condition as released will be reorganized by EHO staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to review. <br /> "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> Applications received after 3:00 pm will be processed the next business day. <br /> IFIRMED APPOINTMENT DATE TIME <br /> :ONFIRMED PHONE FAX INITIALS <br /> 'ED YES NO REVIEW DATE <br />