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j - ENVIRONMENTAL HEAT•'-`, PAGE 01 <br /> f ,10/38/2002. 14:21 46401( j r, f <br />!!!!!! vnro u,.,,vr,u L+ �••r Elmt uvW'Go <br /> f. SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES O ���ENVIRONMENTAL HEALTH DIVISION <br /> 004 FAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (z09)468.342D NOV 01 2002 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> VAPPLICANT IcNf `LAp-CA �jCES <br /> ADDRE55,2Z5_13 — Nhev vKL— Ckz,, C-VCC14 J <br /> PHONE &C:2 _9133 FAd MILE C_q_rJ_ 7�H <br /> • 4 <br /> TENTATIVE*APPOINTMENT DATE <br /> 1 O ! OZ TIME /,'`'�-�• Jt�' <br /> (Please alve 7 to 10 busin ss days from dale of application submillaq y j <br /> U� <br /> El CHECK BO%TO EXPEDITE REQ ST- E(7J{�EOfUE'S7 O 7• S / ' <br /> SIGNATURE OF APPLICAN �I.�116 �A�rv`~/C� 3/ OZ }i <br /> I <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> _ W P_IPoj4 <br /> fL TieueK <br /> 3 tt� tr.e. rnl uul�t D ' <br /> �. IZIPOM WON t4tI,U1-C ,0 <br /> 2 . LC ktc,' Uf(R. <br /> g { � f AW1 <br /> it <br /> =7G NDu5T IJI'li P 'f' �S'L:S. "' • � / c�<.. <br /> , <br />+Ii <br /> y� ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON•LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> �Y UNDERGROUND TANK IMDNITORINGIREMOVAL) O DOG KENNEL O DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR O CHICKEN RANCH 0 PKO TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTEUHOTEL, 0 PUMPER TRUCKrrARDICHEM TORETS <br /> 0 TATTOOIBODY PEIRCING 0 POOUSPA 0 LAND USE APPLICATION SITES <br /> I O MEDICAL WASTE FACILITY , 0 PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1 'I. List up to ten addresses In the space above. Select the type(s)of files from the list above by elloeking <br /> the appropriate(7ox(Ds). At least one filo type MUST be selected. Fax to(2091464-0138 or milt to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD fifes exist. An appointment for review will be confirmed <br /> approximately five buslness days but no later than tan(10)days after receipt of application_ The files <br /> will be hold for a maximum of TWe'6uslness days for review. Appointments should be scheduled <br /> accordingly. <br /> 7. A file that Jp actively being worked on by EHD staff may not be Immediately available for review. Anew <br /> application may be submitted when the file Is available. <br /> 4. Any file not returned in the same condition as re)oased 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 END staff. <br /> U. Applications received atter 7:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME, <br /> DATE CONFIRMED PHONE FAX INITIALS . <br /> REVIEWED YES NO REVIEW DATE <br /> j •d alLb :SO 20 16 400 <br />