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{37/11/2003 16:34 92526367 AEI CONSULTANTS ; ) PAGE 02 <br /> 0116 12083 15116 4640138 ENVIROWENTfAL-HEALTW PAGE 02 <br /> ii <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES a`ru�oauu�,nan <br /> JUL 1'-[ 2003 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER-AVENUE,THIRD FLOOR <br /> ' STOCKTON CA 352D2 ! <br /> (209)4138-3420 I <br /> PUBLIC RECORDS RELI*ASE APPLICATION <br /> Ap>'LfCAN BUSINGss�AGEHCY ;I <br /> ADDRESS ts[l <br /> PRONE���-�� � .X �[��- FaG�si1dI11,E <br /> TENTATIVE"APP0IHTMCNTbATE 71NIE <br /> (Please pfvo 7 to t0 bvslauxs days fr6m data of appNiraVen rUbMlltal) "IL <br /> CItCCK nox TO EXPEOITU REQu1=sT S09.00FEE— UE5T PROCESSED IM 3 BUSINESS DAYS <br /> *SIGNATURE O1=APPLICANT DATE <br /> FILC THM SIDE E>HD'STAFF USP*ONLY <br /> PROGRAM£LEMEN75 51cARCK ? <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDEAGROUtJD TAPING(U5T]:CLEANUP SITE(LCPj LI HOUSING ASA;TEMCNT ❑ SOLID WASTE FACILITY <br /> OTHER CLFlWUP SITE(NON-LOP) a FOOD FACILITY ❑ $QUO WASTE VEMCt 2 <br /> UNDERGROUND`rANK(MONtTORINGlREMOVAL) Ci DOG KENNEL U VXRY. <br /> HAZARDOUS WASTE GeNE-RATQR ❑ I)I-ticxrN rtANCFf Ct I?KC TR[ATMENT PLANT - <br /> El'TIERED PERt`iWMD FAGIU TY tj MOTELI tO"TEL 0 I?UMI'FR TRUCK YAFROICHEM TOILE <br /> 0 TI►T owuoDY PCIRCINO t3 POOLIZPA I� L wo Use APPUCATI N SITES ' <br /> ❑ MPAICAL WASTE FACILITY � D oy mEtz(E'LIASE sPt:CIFY ABOVE) <br /> 9. List up t4 tore addresses)n the space above. Select the type({)of files from the list sab*Ve by chocking <br /> the appropriate box(es). At Ica$t one fife type MUST ba Solocted. Fax Ia (20_9)464-0138 or matt tcs the <br /> address indicated aboVe. — <br /> z• ` EHO will notify the applicant if;iny'EHD files exist:, An appointment for rdview will be confirmed <br /> approximately five business days but no lator than ton-(I0) daly5 after receipt.o rappiic:won. The ties <br /> will be hold fora maxlmtltn oftive business days For review. Appointrocnts should be scheduled <br /> accordingly. <br /> 3. A file that,)A atWely being worked on by ZHO staff may not,be Immediately available for review, Anew <br /> application rrmiy be,submittvd when the file Is avallabia. <br /> 4. Any file not returned in the same condition as released will bQ reorganized by EHD staff at the expanse <br /> of the applicant. Fgture file rc IMS tsy the same applicant may require a $89.00 deposit prior to review, <br /> S. *TENTATIVE AppoIntmerit dates must be confirmed With efil)staff, <br /> 6. Applications received after 3.100 pm wilt be processed Elis next bustness day. <br /> CONFIRME=D 4PPOINTMENT DATI`-• TIME <br /> DATE CONFIRMED PHONE FAX imrrIALS <br /> REVIEWED + • YES NO REVIEW DATE ' ^ ' <br /> i. <br />