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r R�IIi Geo-Phase Er-,iir>3nrnenta,i TnC. FAX No. : 20956902,35 I'lar. 05 2001 12:56PM F2 <br /> SAN J&LC©UNT�I kfBL1C HEALTH SE � ICES <br /> ENVIRONMENTAL HEALTH 01VIS101 i <br /> ;MAR 0 5 20 1 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95 <br /> 202 <br /> ENVI -�I (2Os)ass <br /> -3420 <br /> ;ES k PUBLIC RECORDS RELEASE APPLICATION r� <br /> YAFPLI T' RU$IiIESSIAGETICY 'q !f!t e , v1q.' +. <br /> R -I e <br /> Ttw moo;Q' <br /> TENTATIVE'APPOINTMENT 17ATE TIME r' <br /> (PltNase give 7 to 10 business days from date of application submittal) < � <br /> CHECK BOX TO EXPEDITE REQUEST-j7e.T0 FEE—REQUEST PR0CE$$r;0 N SUSiNESS BAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDKESS <br /> i� <br /> _3 N 4� Af <br /> r <br /> ENVIRONMENTAL-HEALTH DIVISION FILES <br /> UNDERGROUND TANK(11ST)CLFANUP SITE(LOP) 0 HOUSING ASATEMEN'r 0 SOLID WASTE FACILITY <br /> ❑ OTKER CLEANUP SITE(NON-.LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNDI RGROUND TANK(MONETorLINGIREIVIOi C DOG KENNEL 0 DARY <br /> C HAZARDOUS WASTE GENERATOR ❑ CRICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTELIHOTEL 0 PUMPER TRUCKIYARDIGHEM TOILETS <br /> 0 TATTOOlBODY PEIRCING 0 POOtJSPA 0 LAND USE APPLICATION SITES <br /> 0 MFOLICAL WASTE rACIIJTY 0 PUBLIC WATER systt A 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the fist above by checking <br /> the apprdpriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 6;r mail to the <br /> addre s indicated above. <br /> 2. EHD wild notify the applicant if any EHO files exist. An appointment for review will be Confirmed <br /> approximately five business days but no later Vian ten(10)days after receipt Of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly_ <br /> s- A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the some condition as released vAl he reorganized by END staff at the expense <br /> of the ap'pl'icant- Future file reviews by the same applicant may require a$78.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must b>;confirmed with END staff <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRML APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES !10 REVIEW DATE <br /> EX U %4 05M51fl6 <br /> i <br />