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08/16/2002 11:44 209-579-2225 MODESTO ATC -` � PAGE .81 <br /> jet <br /> 11 <br /> SAN JOAQUIN COUNTYPU13LIC HEALTH SERVICES <br /> ENVIRONMENTAL, HEALTH DIVISION � <br /> a 304 EAST WE13ER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> ROD)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AUG 18 2002 <br /> APPLICANT +f�CW Cl r1 ��l{,� liUSlNC55lAGI:NCY A - t LJ t.l4�+S• E�Vl H <br /> ADDRESS LI�'�` �,p.nt p1vn P=RArtITlCERVICES <br /> •,Ar�.rt.�.,-t 5.�.� t� ��,c�,>ws,.j,o � T 535 i <br /> PHONE Z.Q9 �+��" Z'L1 1 FACSIMILE '2.%Z,9 <14A— Z.ZZ <br /> TENTATI V E'APPOINTMENT DATE 7<M1= <br /> (i'IcasP Civ 7 ip��IIb car op alien:vbmill3l) <br /> CHECK 8OX rO EXPEDITE REQUEST•$07.00 F-E_REQUL:STfA6 S#D IN t3USINE55 DAYS - <br /> SIGNATURE OF APPLICANT � DATE `!3 It+l�� <br /> FILE AD[1RCS5 THIS SIDE am <br /> D STAFF USI:ONLY <br /> PRQGRAM ELEMENTS SEARCH <br /> i S4 S .T,ra c Q t� . .5k4�tt#san m a <br /> 53� y�rt.tioa kaaol S�+4C ta•� m o <br /> qj t} u' (q,,,la t3-Z dAgLi <br /> SLS ect fiJeyA- [f S{r•eet� {dee . <br /> W-0- C-Wi4L r Ula c0-oL'i ,9 <br /> �•l� l�c�st• CL�tyrt,+tr a SK�,n <br /> �t`l1 a.� �r�Vt Siexte• rs <br /> �3 X11-'.l �w� Zv 5'�.�clt#•a�� <br /> ENVIRONMENTAL.HEALTH [DIVISION FILES <br /> UNDERGROUND TANK(VST)CLEANUP SITE(LOP) D HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) Q FOOD FACILITY <br /> D UNDI»RGROUND TANK(MONITORiNGfREMOVAL) O 00(i KENNCL,' n SAIR WASTE YIrHICLt: <br /> 0 HAZARDOUS WAsTC GENERATOR ❑ CHICKEN RANCH Q PKG TREATMENT PLANT <br /> 0 TIERED PERMITTqD FACILITY ❑' MOTEUHbTEL ❑ PUMPER TRIICKlYARDlCHEM 70iLET5 <br /> ❑ TATTOOIBODY PJAIItCiNr,,. ❑ POOUSPA WAST FACILITY O LAND U5E APPLICATION SITES <br /> C3 MEDICAL ❑ PUBLIC WATER SYSTEM 0 OTHER(PLCASG SPCCIFY.ABOVE) <br /> 1. List up to ton addresses in the spaC0 above. Select the type(s) of files from the fist above by checking <br /> the appropriate box(es). At 10ast one file type MUST be selected. Fax to J2091 464-0138 or m if to the <br /> address indicated above. <br /> 2• EHD will notify the applicant if any EHD files exist.::An appointment far review will be confirmed . <br /> approximately five business days but no later than tor?(10) days after receipt of application.•Thc,filcs <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.�Anew <br /> application may be submitted when the file is available. <br /> 4. Any file not returnod in the sante Condition as rcleaspd will be reorganizad by EHD staff at the expense <br /> Of the applicant, Futuro file reviews by the same applicant May require a$37.00 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 proCQssed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FA}t <br /> INITIALS <br /> REVIEWED YES NO , <br /> ert Gil 14 OVUM— REVIEW DATE= <br />