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07/28/2083 10: 34 9168610430 SECOR PAGE 011141 ,i I <br /> a t/i tr zaa.i 15:15 209 '13433 FIFTH FLOOR PAGE 02 <br /> SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES <br /> 11 % ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> ST'OCKTON CIA 85202 0 i <br /> ,.J J l..- 8 2003 (208)468120 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 7Tn.r ni. �v : <br /> APPLIL�IN'T"' I.A:VQjjj�kj47 CC�TWtj _Bl1^SINESSIAOENCY G• 1 <br /> ADDRESS 1 VORD pin A , e r } { <br /> PHONE ZA-+� ACSIMIt_E1_ _IL.L.. 01' --r L4?20 <br /> TENTATIVE*APPOINTMENT DA'T'E;. Ula(Vl �[ 4.. 7J '?71' e _ A� 11 j� <br /> (Please SW7 7 to to buzIft&s days from aatR of application subml=l) <br /> i <br /> i <br /> CI ECK BOX TO MEDITE REEST•S$7.i10 FEE—REQUEST PROCESSED tM 3 BUSINESS ESS DAYS401Cq <br /> � <br /> SIGNATURE OF APPUCAh1T a DATE D� �0 � <br /> I <br /> FILE ADDRESS THIS SR]E I)STAFF USE ONLY <br /> PROGRAM ELI-VENTS ARCH <br /> 3(4 r L4. �raG CA Q S3 ( 5 <br /> 'L �S1PO <br /> C <br /> V/11 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> E UNDERGROUND TANK JUST)GLEANLIP SITE(LOP) .0 HOUSING ABATEMENT O SOLID wASTE FACILITY <br /> ■ OTHER CLEANUP SITE(RON-LOP) --T�-A�A?-LOi` ❑ F040 FACILITY .❑ SOLID WASTE VEH[CLE <br /> M UNPF.RGROUNaTANK IMORMORINWHEMOYAL) ❑ POG KENNFL ❑ DAIRY <br /> 0 -HAZARDOUS wAST9 GENEFLATOR a CHICKPN PANCH ❑ PKG TREATMENT PLANT <br /> 0 'rlF D PERM II I FACILITY F3 MMIJKQTEL L3-PUMPERTRUCWYARDfCI F-M TOR!ET8 <br /> C TATT001WDY PEIRCINra t3 POOUSPA fa LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTIi FActLITY ❑- PUBLIC WAnR SYSTEM M G nMn(PLEASE SPI; n ARWE� <br /> List up to ten addresses in the space above. Select the type(S) <br /> of files from the licit above by checking <br /> Lhe appropriate box(es), At least one file type MUST be selected. Fax 12(209)95d-043 cr m-aU to the <br /> Address <br /> • iaa a ave <br /> 2. EHD will notify the applicant if any EHO tiles exist. An appointment for review will be canfitmed <br /> approximately five business days but no later than ten(10)bays after-receipt of application. The tiles t <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 subrnitted when the fila is availabole, ! <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense i <br /> of the applicant. Future file revlows by tho sarne applicant May require a$87.00 deposit prtar to revsuw. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff, . 1 <br /> G. Applications received after-3:0o pm will be processed the next business day. <br /> 1 <br /> l <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATY--CONFIRMED PHONE , FAX INITIALS <br /> REVIEWED Yes NO iR£ F-W DATE <br /> CH ao N Od19T � <br /> _ I <br />