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nhK-Ii_-ZUU4 fKI Uy:UU H1 Iuining Labs hAA NU, bby ebb 112b V. U1/U1 <br /> 10-17-2000 io:mAM _ ROM TO �, 15592687126 P.02 <br /> IREt <br /> � V FD SAN JOAQUIN COUNTYPUBUC HEALTH SERVICES Luu <br /> ENVIRONMENTAL HEALTH DIVISION <br /> MAR 1 2 2004 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 98202 <br /> (209)468-3420 <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT C L l3USINESSIAGENCY 7-w"A L (A Lfjjj <br /> ADDRESS 2a-77 /�!' ��ta ST <br /> PHONE 551 ' 'Z6 8 . 76 Z-1 FAC//S//IMILE x./55 T' E t 2. G <br /> TENTATIVE'APPOINTMENT DATE (eb `O t TIME <br /> (Please give 7 to 10 business days frogs date of appllcation submittaq <br /> CHECK BOX TO EXPEDITE REQUEST-$97.0D FEE REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT C.-+�,��,r- DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE QMY <br /> PROGRAM ELEMENTS SEARCH <br /> It rI.T1,01 <br /> oa + &ck Tr"_ 15 -) 6 S <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> X_UNDERGROUND TANK(UST)CLEANUP SRM(LOF) U HOUSING ABATEMENT ❑ SOLID WASTE FACILrrY <br /> ❑ OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY CI $OLID WASTE VEHICLE <br /> Q UNDERGROUND TANK(MONITORJNCMF;MOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR Q CHICKEN RANCH G PKQ TREATMENT PL ANT <br /> O TIERED PERfdITTED FACILITY 13MOTELlHOTEI. 0 PUMPER TRUCKlYARDlCHEMTOILETB <br /> C TATTO"ODY PEIR.CING ❑ POOLfSPA -' O LAND USE APPLICATION SITES <br /> G MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE$PECUzY A50vE) <br /> 1. List up to ten addresses in the space above. Select the typ (s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138 or mail ta_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 flva 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 review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as releascd will be reorganized by EHD staff at the expense <br /> of the applicant. Futi.tre file reviews by the same applicant may require a$87.00 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 /> I <br /> G <br /> CONFIRMED APPOINTMENT DATE TIME <br /> ATI:CONFIRMED PHONE FAX INITIALS <br /> VIEWED YES NO REVIEW DATE <br /> a u rae <br /> I 7nTral P.02 <br />