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Jul 24 03 02: 46P P. 1 <br /> 07/24/2003 14:31 4640130' ENVIRONMENTAL HEALTH PAGE 01 <br /> tau nuc:t�u+au�u _ <br /> SAN JOAQUIN COUNTY tr� <br /> I iC�i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> JU;_ 2 2003 (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> BUSINESSJAGENCY <br /> ADDRESS /t / Z V r" L4 <br /> FACSIMILE S-D) <br /> TENTATIVE'APPOINTMENT DATE_� Z S TIME (3 _ L4 <br /> (Plaasv glvo 7 In 1 bueinecs day-." date of application submiltal) o <br /> CHECK BOX TO EXPEDITE REQUEST-$99.00 FEE�-REQUEST PROCESSEO IN 3 BUSINESS DAYS go ' <br /> /// Q� �) <br /> SIGNATURE OF APPLICANT �G(��`Jk/ I�� �Q DATE Z <br /> 77 <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 3 /v,, A LIU s <br /> zL, w WSI <br /> ' ` - <br /> n <br /> P� 9 �jy - <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) D HOUSING ABATEMENT <SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MON ITORINGIREM OVAL) 0 DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH O PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY O MOTEU►IOTEL O PUMPER TRUCK/YARD/CHEM TOILG <br /> 11TA7TOO/BODY PEIRCING ❑ POOL/SPA LAND USE APPLICATION SITES <br /> f %3 <br /> ❑ MEDICAL WASTE FACILITY Cl OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of flies from the list above by checking J <br /> the appropriate box(cs). At least one file type MUST be selected. Fax to(209)464-0139 or mail to the <br /> address indicated above. <br /> 2. EHD will noUfy 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 EHD 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 /> 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 /> PHONE FAX INITIALS <br /> DATE CONFIRMED <br /> REVIEWED YES NO REVIEVV DATE <br /> EHO 46-0Z,N6 <br /> )�C1200] <br />