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07 / 08/ 2002 BION 12 , 50 FAX 916 5654356 2001 / 001 <br /> I is / Gni iaat in : ve iye ENVIRONNENTl iEALTH PAGE 01 <br /> yr SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES ern Loc Ru aaea <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR I / <br /> STOCKTON CA 95202 <br /> (20A) 4W3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT j77ic i �C l�l r a J <br /> n F BUSINESSIAGENCYraya.- <br /> AIIDRESS /� Z j• .�iWsa9� „7$! �h . ,S _,., y J —� <br /> PHONE <br /> FACSIMILE 271 ,s <br /> TENTATIVE* APPOINTMENT DATE - f <br /> _ <br /> (Pleaao glue 7l i TIME <br /> aPPIII aaLimt(tal) <br /> CHECK 90x TO ExFEDI'(1: REQUEST - 9.e0 <br /> F - E U ST OCES 43INESS PAYS <br /> S1GN#1URE OF APPLICANT - DATE dL _ <br /> FILE ADDRESS THIS SIDE LIVID STAFF USE ONLY <br /> PROGRAMIELEMEKI SEARCH <br /> bZQ !� sz <br /> ZZ <br /> ! z <br /> Z. v ®! <br /> u> <br /> a � • <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> EI UNDERGROUND TANK (UST) CLEANUP SITE (Lop) ❑ HOUSING AI TEMENT C1 50LID WASTE FACR.nY <br /> ❑ OTHER CLEANUP SITE (NON-LOP) O FOOp FACILITY ❑ SoupOLID WASTE FACVEHICLE <br /> ❑ UNDERGROUND TANK (MONITORINGlREMOVAt.) ❑ DOG KENNEL ❑ DAIRY <br /> 44HAZARDOUS WASTE GENERATOR E2CHICKEN RANCH . O PKG TREATMENT PLANT <br /> L7 TIERED PERMITTED FACILrrY O MOTELIHOTEL D <br /> TATTOOMODYPEIRCING 13 PUMPER TRUCK/YARDlCHEM T <br /> OILE <br /> ❑ MEDICAL WASTE FACPOOLISPA G LAND USE APPLICATION SITES <br /> PUBLIC WATQR SYSTEM 0 OTHER (PLEASE SPECIFY ABOVE) <br /> 1 , 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 line Tile typo MUST be selected. Fax to 209 464-0138 or mall 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 ton (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 not returned in the same Condition as released 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 EHD staff. <br /> . 6. Applications received after 3:00 pm will, be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE , TIME <br /> DATE CONFIRMED PHONE FAX -INTTIALS <br /> REVIEWED _ YES NO <br /> POst=a' Fax Note 7671 Onex7 T'L w�p°Iq► <br /> To From <br /> co)pepL e �C O r <br /> rhmek <br />