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FROM : Geo-Phase Environmental Tnc. FAX NO. : 2095690295 Dec. 24 2002 12:03PMP2 <br /> gn <br /> IiSAN J•UIN COUNTYPUBLIC HEALTH SERVICES <br /> „y <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR v (� <br /> DEC 2 4 2002 STOCKTON CA 95202 <br /> (2010) 468-3420 <br /> ENtfll ',LipUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT /Jy%Y^7�rII e. �d'Y YjOe BUSINESS/AGkNCY Gni Pkrtse HM✓/nD ' ri1' <br /> ADDRESS 9.9..'3y/ .eGlQ l <br /> PHONE 7 �� [ 'd��� I'ACSIMILE !! -- <br /> TENTATIVE”APPOINTMENT DATE11-19110A, YIME 7 7' I <br /> (Please Hive 7 to 90 l3usinesifdays from date of application suUmittai) <br /> 4M CHECK BOX TO EXPEDITE REQUE5T-$07.00 FEE-REQUEST PROCESSED IN J 13USINC55 DAYS <br /> SIGNATURE OF APPLICANT /. DATE //3' '° z <br /> r FILE ADDRESS THIS SIDE EHD STAFF US NLY +•' <br /> PROGRAM CLEMEN75 S fi <br /> 7 $. s bA / <br /> OF 2 � � Ve 6e+r_ �S G Ili r/ <br /> Sys' S P r SdG u <br /> / 3d V. er --SJG <br /> S ? W04 JU de a/o - I✓ r <br /> I <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> Z1 NDCRGROUND TANK(UST)CLEANUP SITE CLOP) C1 HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> , ?OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY O SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> O HAZARDOUS WASE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> Ci TIERED PERMITTrtt FACILITY O MOTELIIIOYEL O PUMPER TRUCKIYARDlCHEM TOILETS <br /> O YATYOOIBOOY P91RCING Cl P60USPA ❑ LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY ❑ PUBLIC WATCH SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ton addresses in the space above. Select the types) of files from the list above by chockino <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138 or mai) 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 file 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 /> -\i CONFIRMED APPOINTMENT DATE TIME <br /> i <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW nATF <br />