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09/19/2002 16:03 2L. -579-2225 t Oi ESTO ATI.-- PAGE F <br /> . .. ....... 1.1 N.I,..t•1a11LH.1 I. � �� <br /> SAN JOAQUIN COUNTYPUBL C HEALTH SERViCGS- <br /> ENVIRONMENTAL HE LTH DIVISION <br /> 304 EAST WEBER AVENL E,THIRD FLOOR D -� <br /> STOCKTON CA 95202 <br /> (209)4611- 20 <br /> PUBLIC RECORDS RELEASE�}APPLICATION � 9 2002 <br /> APPLICANT, //} BUSINCSSlAGENC .4-re— HEALTH <br /> ADDRESS Z//7 ,�I1/SERVlt;FS <br /> RHONE FACSIMILE- 2 bq ) 7 <br /> TENTATIVE'APPOINTMENT DATE Q 6 Z_ TIME d:00 <br /> (PICasc Dive 7 Lo 94 bvain .s days Iro ate of 2 1 Mlon subiniLtal) <br /> ❑ IN�f3USIN4SS DAYS <br /> CNIwCK BOX TO,ExFEDRE RCQUCST_ 0>=CE-RGMUERO <br /> SIGNATURE OF tiPPLECANT DATE 69 /9 2~ <br /> 1 <br /> FILE ADDRESS THIS SIDC END STAFF USE ONLY <br /> PM90RAM ELEMENTS SEARCH <br /> a U <br /> Tw4y,Ag MM <br /> T Z >v <br /> N1i <br /> LOA <br /> a <br /> ENVIRONMENTAL,HEALTH DIVISION FILES <br /> UNDL:RGROUND TANK LUST)CLEANUP SITE(LOP) Q HOUSING AB TEMCNT O SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACiurY ❑ SOLID WASTE VEHICLE <br /> uNDI~RGROUND TANK(MON)TORINGIREMOVAL) ❑ DOG KENNEL o DAIRY <br /> t-IAZAR0005 VVAM- GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> O TIERED PERMLTTEO FACILITY A MOTEUI10 L O PUMPF-RTRUCKIYARDICliEld'rOILM <br /> O TATTOOIBODY POIRCING O POOLISPA " 0 LAND VSEAPPL,ICATION SITES <br /> O MEDICAL WAs-rg FACILITY CI PUDLIC WA ER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. Ust up t6 ten addresses in the space above. Select tha type(s) of files from the list above by checking <br /> ttic appropriate box(es). At least one file type MUST be selected. Fax to 209 464-)138 or mail to the <br /> address'Indicated above. n <br /> 2. EHD will notify the applicant if any EHD files axis L An appointment for review will be confirmed <br /> approximately five business days but no later than tbn (10) days after receipt of application.-The flies <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 ba Immediately available for review. A now <br /> application may be submitted when the file is av ilablo. <br /> A. Any flit not returned in the same condition as rel ascd will be reorganized by EHD staff at tic expcnsa <br /> of the applicant. Futurc file rcvicws by the same applicant may require a$87.00 deposit prior to revlow. <br /> 5. `TENTATIVE appointment dates must be confirm od with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the noxi business day. t <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE xp <br />