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Feb '06 04 12: 23p KRR-�PEH &. RSSOCIRTES 916 2222 P.3 <br /> 11/Z4/2002 10.36 4640138 ENVIRONMENTAL HEALTOT+ PAGE 02 <br /> ♦,1111,I1L..LfY�lf � I <br /> SAN JOR-JUIN COUNTYPUBLIC HEALTH SER—,,,LES E��v�ar k rh <br /> ENVIRONMENTAL, HEALTH-DIVISION. <br /> 304 EAST WEBER:AVENUE,THIRD FLOOR � <br /> FEB 0 6 2004 STOCKTON CA 95202 10 <br /> (209)466-3420 <br /> EN dIc �( PUBLIC RECORDS RELEASE APPLICATION <br /> p/�pNp� r _'!` 9USINVS31AGENCY &4SSOG� � <br /> nanaEssp 01 /CF !�� S/IC/I' ,C! ,S <br /> PHONE FAdSIMIu <br /> TENTATIVE'APPOINTMENT[TATE TIME <br /> (Pleas!glve Y to 10 buslnrss days frorn date of atppllcallan submluol) <br /> CHECK 0OK TO EXPEDITE REQUEST-S ROCESSED IN 3 8USINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILO ADDRESS THIS SIDE EM STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> I k <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION FILES ! gm <br /> ; <br /> +UNDERGROUND TANK JUST)GLHANUP SITE(Lt}Pl d HOUSING A9A'rE=MENFSOLID WASTE FACIL! <br /> i )KOTHER CLEANUP sITE iNON-LOP) 0 FOOD FACILITY V SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MoNtTORINGIREAIOVAL) 0 DOG XENNEL 0 DAIRY - <br /> HA7 DOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTEL/HOTEL 0 PUMPER TRUCKIYARDICHEM TotLETS <br /> 0 TATTOOMODY PEIRCING 0 POOLISPA 0 LAND USE APPLICATION SITES <br /> 0 mEGIGAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ADOVC) <br /> 1. List up to ton addresses in the spaca above. Select the type($)of Tiles from the list above by checking <br /> the appropriate box(es). At least one filo type MUST he selected. Fax to f2091 464-0138 or mall to the <br /> .- address indiooted abov2- <br /> e <br /> i 2. EHD will notify the applicant if any EHD fifes exist. An appointment for review will be Confirmed <br /> approximately five business days but no tater than ton(10)days after receipt of application. The files <br /> • will be held for a maximum of five business days for review. Appointmonts should be scheduled <br /> accordingly. <br /> 3. A file that.is actively bbFng worked on by EMU staff may not be immediately svoilable for review. A new <br /> application may be submitted when the file is available, <br /> 4. Any filo not rottirnod in the same condition as released will ba reorganized by EHD staff at the expanse <br /> of the applicant. Future tele reviews by the same applicant may require a $89.04 deposit'prior to review. <br /> S. 'TENTATIVE appointment dates must be confkmed with EHD staff. k <br /> 6. Applications received after MOD prn will be processed the next business day. <br /> - I <br /> r <br /> CONFIRMED APPOINTMENT DATA;. TIME <br /> RATE CONFIRMED PRONE FAX INITIALS <br /> REVIEVVED YES NO REVIEW DATE <br /> F <br />