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Mar • 26 . 2003 I : OOPM CONDOR ' RTH TECHNOLOGIES <br /> 09 P • I / I <br /> ERp Lot NUMBER <br /> TE RECEIVED <br /> r <br /> SAN JOAQUIN COUNTYPUBLIG HEALTH SERVICES <br /> 1LC�L hu • / — <br /> ENVIRON MENTAL HEALTH DIVISION I <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> MAR 2 6 Z003 STOCKTON CA 9x202 <br /> "7 <br /> . (209) 4684420 <br /> W04MEN1 H1 ,0H, PUBLIC RECORDS RELEASE APPL�C/`� 1110N � <br /> DUSINESSlAGENCY �--"•"r—"'�� <br /> JDRESS - <br /> FACSINaI.E ' / \ <br /> .,ZONE - � � 4al 5J <br /> p 1 TIME cl'4f (V/ <br /> TENTATNE' APPOINTMENT DATE (J Y 1 — -- <br /> (Please give 7 to i0 hus,n days froth data trf appllcalioo suhmltl•.aQ . <br /> un • Ll/ <br /> CHECK 90XTO EXPEDITE REQUEST - $87.00 FEE – Q,UEST PROCESSED IN 3 BUSINESS 4AYS GGI <br /> AATC o? 6 Ylti-t�3. <br /> 4GNATURE OF APPLICANT <br /> THI1S SIDE L11D STAI-1' IJSEJSE ONLY <br /> FILE ADDRESS PROGRAM ELELIm's SEARCH <br /> L /j <br /> pt . ar ov+ 2 <br /> a r. <br /> r <br /> 10 - <br /> ob 1' - t <br /> d taa <br /> L..o�w. m r r �•ol. S . a � _.--_. <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> IJ HOU SING ABATEMENT )if SOIUC 1NASTE FA(:3U Y <br /> UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ FOOD FACILITY )V SOIJO WASTE -VEHICLE <br /> OTHER CLEANUP S IE (NON-LOP) ❑ DOG KENNE3.. ❑ DAIRY' <br /> UNDERGROUND TANK (MONITORSNGIREMOVAL) ❑ DOGCHIKEN RANCH 0 PKG TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR ❑ MOTELJHOTEL 11 <br /> PUTAP7u''..RTRUCKIYArI0NS MTOILJ:CS <br /> CI TIERED PERMITTED) FACILITY L7 pdoLlsPA L. • ❑ LJU1O USE APPC.1CJ11'70N SRr:S <br /> ❑ TATTOO/BODY FORCING 0 PUBLIC WATER SYSTEM ❑ OTHER (PL.EAS"' .5PECIFYA6OVE1 <br /> ❑ MEDICAL WASTE FACILITY <br /> 1 . List up to ten addresses in the space above. Select the typa(s) Af files from the Iia;C above by t Necking <br /> the appropriate gox(es). At least one file type MUST be selected. Fax to j:!09� 4(i4 0'138 of r�?! tl_�?r(' <br /> address indicated abovep y p ointment for neviraw will be confirmed <br /> 2 EHD will notify theapplicant if an EHD files exist, An appointment plication, The files <br /> approximately five business days but no later than ten (10) days offer re 6iPt should be scheduled <br /> will be held for a maximum of five business days for review, App <br /> accordingly. Y worked an b EHA staff may not be Immedlatel;/ avallaiale• for review. A news <br /> 3• A file that is active) being Y <br /> application may be submitted when the file is available. by EHD staff at the <br /> 4. se <br /> Any file not returned in the same condition as released will be reorgaYe r $ pOFd p sit Prior toxrpi vtlaN- <br /> of the applicant. Future file reviews by the same applicant may req <br /> &. 'TENTATIVE appointment dates must be cobfirmed with EHD staff- <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT GATE TIME <br /> gLiri \,G env , i, ,� w . c. <br /> nnTr r-n/ IClvnncn <br />