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SAN JOAQUIN COUNTYPUB IC HEALTH SERVICES LIIuLut.kumi)ui <br /> MAR 2 ? 2001 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVJ;N , THIRD FLOOR <br /> Epglvi�;( ir <br /> livMEN ff i LTA ST(ICKTON C 85202 <br /> FrF�[vli �`�a� ` (209)468_324 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ZIUSINESSIAGENUI 04 !l4' kb <br /> DDRESs 0,$ v .. �Vo ref S4 C (A- <br /> 7J <br /> A-? -7 <br /> FACSIMILE 0 b� <br /> TEFATIVE*APPOINTMENT DATE �`d-7 O� TIME a <br /> ' (Please Give 7 La 1U husinoss days from ilate of application syt3mlttal) <br /> CHECK aQX. T4 EXPEDITE REQUEST-4 7 U FEE- QUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DAT[= D! <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> zU 10� L .v,Mc 1 <br /> 1? -,,J — Tr--Ir <br /> DA rriq f LKA <br /> ,31/.30 - r 1�w Ylo� 1� co e rk2 <br /> ENVIRONMENTAL HEAALT DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) II )-LOUSING ABATEMENT M SOLID WASTE FACILITY <br /> 1�I OTHER CLEANUP SITE(f[ON-LOP) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCIJ C3 PKG TRENTMJ=AIT PLANT <br /> Cl TIERED PERMITTED FACILITY ❑ MOTEL HOTEL ❑ PUMPER TRUCK1YARD1Cf{EM TOILETS <br /> ❑ TATTOOMODY PEIRCING a P60LISI-A '' ❑ LAND USEAPPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 13 PUBLIC WATE=R YSTEH 0 OTHER(PLEASE SPL-CIFYAI3oVE) <br /> h. 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 aria file type MUST be selected. Fax to 209 464-0138 or ma to the <br /> address indicated above. <br /> 2., EHD will notify the applicant if any EHD files exist. f n appointment for review will be confirmed <br /> approximately five business days but-no later than ten (90) days after receipt of applicatior;.-The files <br /> will be meld for a maximum of five business clays 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 never <br /> application maybe submitted whep the file Is avalla le. <br /> a. Any file not returned In the same condition as releas d will be reorganized by EHD staff at the expense <br /> of the appiicant. Future file reviews by tt}e same apf iicant may require a$87.00 deposit prior to review. <br /> 6• 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications receiver!after 3:40 pm will be processe J the next business day. <br /> CONFIRMED APKINTMEW DATE TIME <br /> DATE CONF1RN4l=D ` _- _ PHONE FAX INITIALS <br /> REVIEWED YES NO R FEW DATE . <br /> rp as 14 .oawnm <br /> EARN- 3906 ZL9 9T6 IfV.I T£-LO 10lTZ/£0 <br />