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_11-30-2000 0E:27l M FROr"� TO `— 15168610430 P.01 <br /> .la f L FCf`.iJY4U EHD LOG Numuka <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH-[ SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1 304 EAST WEBER AVENUE,THIRD FLOOR �L <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> ei4BILIC RECORDS RELEASE APPLICATION <br /> PPLICANT 1,ff A 11 jcr lall,e 8USINESWAGENCY <br /> ADDR555 302 }�:l�n,-e_ ko4a 5� is ,ov Qu►�c Igo Cp�a�vtsk CA 9567 O <br /> LONE,,, 1 ZZ, FACSIINL.E 21(o EAI - U4 3 L► <br /> ! TENTATIVE'APPOINTMENT DATE MOY')gm i l f p!) T1114E �' kA` 5'DD f�n <br /> (P[rasa give 7 Lo 70 business days barn date of application submhtal) MNOV <br /> 200 <br /> CHECK BOX-(O E58X?EDITF REQUEST- 7.00 FEE-REQUEST PROCESSED LN 313USINESS DAYS O f <br /> SIGNATURE OF APPLICANT 9.9 ----_ DATE ///30/1-4! <br /> I <br /> n0S SIDE EHD STAFF USE ONLY <br /> FILE ADDRESS <br /> i PROGRAM ELEMENTS SEARCH <br /> 1 (A F LO <br /> ZI <br /> 14 t) C_ %ar-e' IL)a Sj,c.k4,*, Ch 1= w. r �4t2CD 3S.ZIv &r2- _ -- <br /> 3 150q0cr Va S'! v" CA C.kevroo, S a{10 � �5��v tz2 <br /> r W �, Tr w„fb., s R-A rl 3Sa c* 22 <br /> v, Sts CL.Uv <br /> 51 bi�D CU+rr+.�e. Shell �k-" -- - <br /> t7 I W L;n toly. 1�Jc U} �r++,er t7n1 tMo�troti e r� 3 ' 2 R- <br /> I <br /> ENVIRONMENTAL HEALTH D1V1191014 FILES <br /> UNDERGROUND TAml<(LIST)CLC-MU°SITE(LOP) o HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> rj3 OTHER CLEAMP SITE(NON!-LOP) ❑ FOOD FACILITY D $DUD WASTE 1(E1-1ICLE <br /> di UN>1ERGROUND TANK IMONITORWNGIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> Q HAZARDOUS WASTE GENERATOR D CMCKEN PANCH ❑ pKG TREATMENT PLANT <br /> Q TIERED PERMITTED FAC]LITY 0 NOTFLIHOTEL- G `' <br /> PUMPER TO4ET <br /> �j TATTO=DoY PEIRCING • [3 Poo11SPA ' O LAND USE APPUCATION SITES <br /> a MEDICAL WASTEFAWLITY M PUULICWATERSYSTEM E3 OTAeR(PLEASE SPECIFY ABOVE) <br /> I <br /> �. List up to t®n addresses in the space above. Select the types)of files from the list above by checking <br /> the appropriate b0x(e5)- At least one file type MUST be selected. Fax to(2091464-0138 or Mail to the <br /> 1 address indicat%4 above. <br /> 2. EHD will notify the applicant if any END files exist. An appointMent for review will be confirmed <br /> approXlrnately five business days but no later Mian ten(10)clays after receipt of application_ The files <br /> i will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> �. A file that is aCtively being worked on by EHD staff may not tie immediately available for review. Anew <br /> 1 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 /> i of the apppcant. Future ille reviews by the same applicant may require a$97.00 deposit prior to review. <br /> 5. "TEKTATIVE appointment dates must be confirmed With EHO <br /> staff-Applications received after 3.00 pm will be processed the next business clay. <br /> fCONFIRMED APPOINTMENT DATE _ mmE <br /> DATE CONFIRMED PRONE FAX INITIALS <br />