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SLI `-' SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES 1�t,D LGG NUMBER <br /> ENVIRMENTAL HEALTH <br /> OCT 0 4 2000 304 EASTIWEBER AVENUE,THIRD FOIOR <br /> STOCKTON CA 95202 <br /> ENVIRONMENT HEALTH (209) 468-3420 <br /> PERMIT/SERVICES ''PUBLIC RECORDS RELEASE APP-LICATIQN <br /> APPLICANT (L.C. �rgttifTDrY� BUSINESS/AGENCY I�C4rfc-Ipl r �nC• <br /> ADDRESS Z8 2S a, H yr7-LC !91-YC C-1 <br /> PHONE Z01-1-le, - FACSIMILE <br /> TENTATIVE"APPOINTMENT DATE 10- 11- 2,000 _ TIME i <br /> (Please give 7 to 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST- 860 OF - EQjU�GCVSIN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAtA ELEMENTS SEARCH <br /> �-7L/6 ;P",-4c Ave. — All <br /> aro CI-6c Ave. - All nl+s <br /> 4) �.4wtr �G <br /> ,_r4 MAO. _ �2 (. C L*) <br /> Ot;i ctc G c.• <br /> r>?miler rte <br /> -7Soq E rte <br /> 1 755- kao4c ,ave.. n t <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ,+ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT QrSOLID WASTE FACILITY <br /> J1 OTHER CLEANUP SITE(NOW-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> A3 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL O DAIRY <br /> I�r HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH © PKG'rREATMFNT PLANT <br /> ❑ TIERED PERMITTED FACILITY O MOTELIHOTEL 0 PUMPER TRUCKlYARDlCHEM TOILETS <br /> M TATTO00ODY PEIRCING ❑ POOUSPA ❑ LAND USE APPLICATION SITES <br /> X MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYVFM ❑ 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 one file type MUST be selected. Fax t_Q (209)464.0138 or mail 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 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 rite 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 $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 /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EM 00 14 Oeio7fG0 <br /> 7nn <br />