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I`)-.o02/2003 13:01 FA1 209 9480621 0002/042 <br /> 1 <br /> 1� it�' �I I' :`- Ir SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> DEC 0 2 2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> $TOCKTON CA 95202 <br /> H( t,Ll i (209) 468-3420 <br /> PERMP-!SER.VIC[-S PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT F— y_� .74R+,- 8USINES5IAGENCY <br /> ADDRESS <br /> PHONE Ut — FACSIMILE,_ TYf)—06�. <br /> TENTATNE'APPOINTMENT DATE 2 f Z /�, TIME <br /> (Please give 7 to 10 business days from date of application submftw <br /> • <br /> CHECK BOK TO EXPEDfrE REQUEST-$aT.GO FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE Z L d3 <br /> z L2 <br /> FILE ADDRESS THIS SWE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> LA �b <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 91 UNDERGROUND TANK(UST)CLEANUP 5fTE(LOP) Q HOUSING ABATEMENT ;37 SOLID WASTE FACILITY <br /> V OTHER CLEANUP SrM(NON-LOP) Q FOOD FACILCLY T3 SOLID WASTE VEHICLE <br /> 40 UNDERGROUND TANK(IMONTTORINGIREMOVAL) ❑ COG KVNNEL Ut DAIRY iA <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH Q PKG TREATMENT KANT <br /> TIERED PERMITTED FACILITY ❑ MOTEL640TEL ❑ PUMPER TRUCKIYARI]ICHEM TOTt.E <br /> O TATTOolsony PEACING ❑-PQOLISPA qk LAND USE APPLICATION SITES <br /> ❑ <br /> MEDICAL WASTE FACILITY IjRZ PUeUC WATER SYSTEM ❑'OTHER(PLEASE SPECIFY ABOVE) <br /> I. 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 (7091464-,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 pat returned In the sante Condition as released will be reorgantzed'by END staff at the expense <br /> of the applicant, Future file reviews by the same applicant may require a $87.00 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 APPOINTMI+NT"DATE TIME. <br /> DATE CONFIRMED _ _ PHONE FAX INITIALS . <br /> REVIEWED YES NO REVIEW DATE <br />