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10/30/2000 12:20 2094b8So.,11 FIFTH FLOOR <br /> REGMEa SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION. OCT 3 Q 2000 <br /> 304 EAST WEBFR AVENUE,THIRD FLOOR" <br /> STOCKTON CA 95202 ENVIRONMENT HEALTH <br /> (209) 468,3420 PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT -%''fin (rhwFF BUSINESS/AGENCY -1-� <br /> ADDRESS /N33 t97 <br /> PHONE (F&) 9Z$'33,90 FACSIMILE <br /> TENTATIVE`APPOINTMENT DATE Tuio 461`7 <br /> (please grve 7 to'ID basing days Nam data of application stdanitla0 <br /> L � ED N 3 BUSINESS DAYS <br /> 13 CHECK BOX TO EXPEDITE REQUEST-$aT.e]FEE—RE <br /> DATE ii 3� 00 <br /> SIGNATURE OF APPLICANT _ <br /> TN <br /> FILE ADORES—{ Is SIDE EHD STAFF USE ONLY <br /> - PROGRAMA ELENTENTS SEARCH <br /> � 25 -5 4,I.,n �-r•, Gu. 3�;z.(,, R� 107— "'�-._l, <br /> c, 5!5. <br /> 7 kK _ <br /> ( <br /> _ $NYIRONMENTAL HEALTH DIVISION FILES <br /> ❑ HOUsINGADATEMENT ❑ SOLD WASTE FACILITY <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ FOOD FACILITY ❑ SOLD WASTE VEHICLE _ <br /> ❑ OTHER CLEANUP SITE(NON-LOP) E3 DAIRY <br /> UNDERGROUNDTANK IMONITORINGMEMOVAL) o GHCIKENI NRANCH ❑ PKG TREATMENT PLANT <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ MOTEVHOTEL ❑ PUMPER 7FRUGK/YARD/CHEMTOa.ET3 <br /> ❑ TIERED pERIAITED FACILITY ❑ POOLISPA - - ❑ LAND USE APPLICATION SITES <br /> ❑ TATTOO15OOY PORCING ❑ PUBL)C WATER SYSTEtd ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> ❑ MEpicALWASTEFACWTY <br /> 1. List up to ten addresses in the space above. Solari the_type(s)of tiles from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(2091 464-0138 or mail to the <br /> address indicated above. ointment for review will be confirmed <br /> 2. EHD will notify the applicant if any EHD files exist. An app <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 re%iew. Anew <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant Future fib reviews by the same applicant may require a$57.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> S. Applications received after 3:00 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 /> Di go 14 yw]IEO <br />