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03l,R0JP1j r;iQ$ 209-579-2225 MODESTCi ATC MAGE 01 <br /> SAN JOAQUIN.COUNTY END Loa Nt1141lR � <br /> SEP 0 4 2003 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> _NVN0NWLNT HEALTH STOCKTON CA 95202; <br /> PEPN!TiSEFViCES (209)4ti83420, <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT. <br /> ;BU18INESSIAGENCY <br /> ADDRESS El�q �r-q�.e. 1�., Q.�qA :' S�.'k <br /> PHONE Z FACSIMILE <br /> TENTATIVE"APPOINTMENT DATE TIME d4 Cf] <br /> (Please Alva 7 to 10 business days from date of application submittal) • <br /> r..J <br /> CHECK BOX TO EXPEDITE REQUEST-$89,00 F E-REQUEST PROCESSED IN 3 BUSINESS.DAYS J �C) <br /> SIGN,4TURE OF APPLICANT DATE <br /> FILE ADDREss THIS JUDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 142 <br /> 7-LtJSP- VQ-or. <br /> L3'� Cnle..n} IC,adc� �'i,o L <br /> IL <br /> 2-b S6.t_r_4-o-\ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> ❑ OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ❑ UNDERGROUND TANK(MONITORIN(3IREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR D CHICKEN RANCH CI PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY '❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCINR ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses 1n the space above. Select the types) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax t 0 464-0138 or mqjI to the <br /> ad r Indicated ve. <br /> 2. EHD wlil notlfy the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than tett (10)days after recelpt of application. The files <br /> will be held for a maximum of five.buzlness days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EMD 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 tho same Condition as released will be reorganized by EHD'ataff 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. Applicatlons received after 3:00 pm will be processed the next business day. <br /> :APPO11V'C <br /> I irA1'E. 'Ili <br /> pA •I�. t FII IED: - -= - PHQkrt E 11r1AIiLS <br /> artarsoa�o:aoe } CU/I Fr;, . . . 67) <br /> 177 <br /> 4 n.,x" IOdvw <br />