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62/20/2003 14:10 9259880401 INCOME PROPERTY SERV PAGE F12 <br /> ` 02/20/2003 12:44 46401: ENVIRONMENTAL HE i PAGE 02 <br /> i 1` qul�ooNaancn <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL, HEALTH DIVISION <br /> FEB 9 n -003 304 EAST WEBER AVENUE,THIRD FLOG!~: <br /> STOCK I.ON CA 95202 <br /> i_(dVl w ul'vitl`J i HEALTH (209)4683420 <br /> PERP.1ITiSERVICEVUBLIC RECORDS RELEASE APPLICATION <br /> vsa.w�.ma�n�•en e���.��ie.rrl�Mr�.-+.�+el�� ..�++wee� <br /> APPt3C,ANT �h�VW✓ 10L"5 BVSINlXWAGENCY /NCcMr ?4?,-f-'7y SG` ✓tc 5 <br /> ADDRESS <br /> PHONE "d FAeSIMILE <br /> TENTATTVE•APPOINTMENT DATE TIME <br /> (Ptoasa phr■7 to 10 busfevesa drys from data of applicaticni submittal) • a 3 <br /> 17 CHECK BOX TO l:XP>:Qfl'6 REQUEST-3U9.Oa FEF-REQUEST PROCESSED IN J BUSINESS DAPS <br /> 'SIGNATURE OF APPLICANT DATE Z a ----- <br /> FILE ADDRESS THM SIDE EHO STAFF USE ONLY <br /> PRoC,RAM ELSIEhT3 SEARCH <br /> SdZ& N — G>✓4 <br /> SUL— <br /> G f1 o V S <br /> /� ENVIRONMENTAL HEALTH DIVISION FILES <br /> : IOLRGROUNO tANK(U511 CLEANUP SITE(LOP) C] HOUSING ABATEMENT "UD wASIT:FACILITY <br /> THER CLEA1 WP SrM(NON-LOP) d FOOD FACILrrY V SOUO WASTC YEHIGLE <br /> V�VNIXRGROUN'D TANK(MONITORING1REMOVAL) O DOG KENNEL 17 0AIRY <br /> t4AZARDOUS WAsT6 GENERATOR O CHICKEN RANCH O P4(G TREATIAEffT PLANT <br /> Cl. TIERED PERMITTED FAC1LM 0 btoTE04OTEL O PUMPM TRUCItJYAA="FM 7D1IX75 <br /> ❑ TTOOM DY PGIRCING ❑ POOLISPA C) LA'w UsE pPPLtGATION SITES <br /> f MEDICAL WASTE FAVLrf Y d pTt1EFt(PI EASE SPECIFY ABOVII) <br /> 1. List up to ton addresses In the space above. Select the Iyptz(s) of files from the list above by chocking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (20gL1Q-0139 or mall to the <br /> Ir or address indintQd above. ' <br /> 2 EHD will notify the applicant If any EHD files exist. An appointment for review`Mill be confirmed <br /> approximately five business days but no later than ton(10) days after racaipt of application. Tho files <br /> will be hold for a maximum of five business daya for review. Appointments should be schadulad <br /> accordingly. <br /> 3, A IIIc that js,actively bong worked on by EHO Staff may not be immedlateiy avnilable for review. Anew <br /> application may bc,submtttod when tho filo Ir, available. <br /> 4. Any rite not rotLlrnad in the same condition AS released will be reorganized by 1:14D staff at the expanse <br /> of the applicant. Future file reviews by tho Same applicant may require a$89.00 deposit prior to reldowr. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff- <br /> .15. Applications roccived after 3,00 pan will be processed the next business day. <br /> CONFIRMED 4PPOINTMENT DATE, TIME <br /> DATE CONFIRMED PHONY FAX 1NCfIP,I$ <br /> R7=V EVVED YES NO REVIEW DATE <br />