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06/10/2003 09:57 FAX 209 94809! [e)002/00.3 <br /> REC E Eno L oG IiumaErt i <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL, HEALTH DIVISION <br /> JUN 10 2003 344 EAST WEBER A`./ENUE,THI1W FLOOR <br /> S'=K rO N CA 95202 <br /> N! HON€NEN 1 � �ALilt . (209)A68-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION. <br /> APPLICANT F-rll1rJ S11/11P[T__S. BUSINESWAtiENCY '�-E s►1 f1F'"Dk=-jL__ <br /> ADDRESS Z'6z s r. IL"`-t r:•-,�•j�-_ 57_ STD CX..ti'U'IJ <br /> PHONE 20ck-9"fa- tI L4 sr FACSIMILE_ 2-c k-at Li f3-a6Z_y__ <br /> TENTATIVE*APPOINTMENT 13ATE TIME 1 ••_�.{`�.� _ <br /> (Please RtYe 7 LO 10 buslness day:.from date of application submittal) � <br /> CHECK s30X TO IXPEDTTE REQUEST-S .Ild -REQUEST C'ROCESSCD IN 9 BUSINE.fS DA E'S <br /> SIGNATURE OF APPLICANT DATE <br /> PILE ADBREss THL5.SIDE EF1D S•[TIFF UU:IE OINLY l) �� <br /> PROGRAIA FLEIJU NTS SC RGH q/„Y I <br /> IL I <br /> ,L q6h 4vL <br /> Z Z 4 i it if fi �/�J <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 19 UNDERGROUND TANK(UST)CL.EMUP 5ITE(LOP) ❑ HOUSING AESATEMWT• 1A sOl1D 1MAS7E FAC.1LrTY �b <br /> 61 OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FA(4LriY 15 SOLID 11YA5"E VEHIG'I-E „;,w� <br /> PK UNDERGROUND TANK(MONITORINGMEMOVAL) ❑ DOG VXNNCL to DAlI'.Y °A 4 <br /> 'Q HAZ_VWOUS WASTE GENERATOR ' O CHICKEN RANCH fit P1CF1T1=tt=A1'11EbIT1'LAtIT <br /> IP inuAiz}PERmnIED FAci TTY C3MOTELfiv rEL ❑ PUDIPE'.RTRUCIK/YAFWjCHCM TOH-En <br /> C3 TATTMBODYPEIRCING ❑•POOLlsw” 9•L.Ah73LJSEAPPU ATICNSMB3 'Sz� ; <br /> O MEDICAL WASTE FACILITY PUBLIC WATER SYSTEM Q C)71-,ER(PLI:ASE SPIE-CIFY A13OVE-1 <br /> 1. List up to ten addresses In the space above. Select the types)of files from the lisf above by cheeldrx] <br /> the appropriate box(es). At least one file type MUST be selected. f3x to j2 &L',64-4138 or mZII to the <br /> Address indicated above. . <br /> 2. Etta will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximately five business days but no later Shan ten(10) days after receipt o'0 application_ The files <br /> will be held for a maximum of five business da; for review. Appointment,;should be srheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD,taff-may not be Immediatolyr avOlable for revittw. A now <br /> application may be submitted when the file Is available. <br /> .4. Any file not returned In the same condition as released will be reorganixad'by I-HD.staff at thi_ ejcpenze <br /> of the applicant Future file reviews by the sarile applicant may require :I $3T.V)deporit prior to review. <br /> 5. 'TENTATIVI;appointment dates must be config mod with EHD staff. <br /> 6. Applications received after 3:00 pm will be pro,.essed th.e next business duy. <br /> CONFIRMED APPOINTMENT(DATE TIME. <br /> DAZE CONFIRMED PK DNE FAX 111+iIT[ku'r <br /> REVIEWED YES NO ROIJEW DATE <br />