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`027713l2004 08:24 FAX 209 94809" 2002 <br /> ' EHO LOG tiumr LR <br /> LATE RECENED <br /> --SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> IRE MlOqI1 Q, ENVIRONMENTAL <br /> as ESNwE13 �� DIVISION <br /> R AVENUE, FLOOR <br /> STOCKTON CA 95242 <br /> FEB 2 3 2004 (209) 468-3420 <br /> ENVIRONMENT HEALTHPU13LIC RECORDS RELEASE APPLICATION <br /> APPLICANT , p4 OUSINESSIAGENCY <br /> C fa <br /> ADPRESS <br /> PRONE r7 r FACSIMILE <br /> �12e/d <br /> TENTATIVE`APPOINTMENTGATE Vn i 01, <br /> � {?lease give 7 10 14 business days from date of appliGatlos�submittal) <br /> (Please <br /> 5CHTE(U-_K BOX TO EXPEDITE REDU>rS7-S9T.::: <br /> 00 FEE RUES PROCESSED IN 3 ausINESS D <br /> DATE <br /> BE OF APPLICANT <br /> FILE ADDRESS THIS SIDE EKD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> MG Resa.�4cs 153302 �IE�n I-G A,.U...� � ' T w <br /> —Flo <br /> — -:3 '1 ' <br /> Sly - 9:4/ <br /> i <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> e'IJNDERCst20UND TANK(UST}CLEANUP (LOP) CIHOUSING ABATEMENT �s OLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON4-OP) ❑ FOOD FACILITY LID WASTE VEHICLE <br /> UNDERGROUND TANK(MONrrlR <br /> ORINGFMCIVAL) ❑ OG KENNEL DAIRY <br /> C3 PKG TREATMENT PLANT <br /> Ous WASTE GENERATOR CHICKEN RANCH <br /> TIERED PERMITTED FACILITY ❑ MOTELiHOTEL R MP USE <br /> SrM TOILETS <br /> 0 TATTOOf90DY PEIRCING ❑' .00LISPA LAND USE APPLICATION SITES <br /> RC1 MEDICAL WASTE FACILITY �UBUC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ADnVC) <br /> 1. List tap to ten addresses in the space above. Select the type(s) of files from the list above by I~heckinc <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail o the <br /> address indicated above. . <br /> An appointment for review will be can <br /> 2. EHD will notify the applicant if any EHD fifes exist. filTn2d <br /> approximately five business days but no tater than ten (10) days after receipt of application. The files <br /> will be hetd for a maximum of five business days for review. Appointments should be scheduled <br /> accordlttgly. <br /> 3. A file that is actively being worked on by EHD staff may not tie immediately available for review• Ano <br /> application may be submitted when the file is available. <br /> I be reorganized by EHD staff at the experts <br /> 4. Any file not rvtumed in the same condition as released wil <br /> of the applicant. Future file reviews by the same applicant may require a $87.00 deposit prior to reviV <br /> S. *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 /> DATE CONFIRMED PHONE FAX INITIALS !� <br /> REVIF-WED YES NO REVIEW DATE <br />