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Apr 23 2003 8: 06AM s L.� 408f—',04131 p. 2 <br /> 14�I1221$�03',+,J 4640139 ENVIRANhENTAL HEALTH PAGE 91 <br /> SAN JOAQUIN COUNTY ~. <br /> ENVIRONMENTAL. HEALTH DEPARTMENT <br /> APR 2 3 2003 344 EAST WIESER AVENUE,THIRD FLOOR <br /> STOCKTON CA 93202 <br /> ENVIR0NII`ENT HEAD H, (209)4sa.U20 <br /> c1; .,!' [+ PUBLIC RECORDS RELEASE APPLICATION �dy <br /> APPLICANT <br /> //(^rLV� G�f�t� jro/� BUSINESSIAGENCY Slim r»► -s-- <br /> ADDRESS lZYl/opa MA-0.7-//y <br /> PHONE T fl 3 �'7 FACSIMILE V23 -76L—+ TIM1E —V? �� 7� <br /> TEN TATfVff APPOMr maNT DATA — <br /> (pIsMe give 7 to 1 o businsas days Dorn date of•pplbatbon eu)ml ttal) • <br /> 13 CHECK BOX TO EXPEDITE REQUEST-,4 MOD FNG-REQUEST PROC"SED IN 3 BUSINESS DAY4'3 <br /> SIGNATURE OF APPLICANT -- DATE <br /> -�— Mme. -- ------ <br /> THIS 3117E EHD STAFF U96 ONLY <br /> FILE ADDRE98 PROGRAM'!ELRMENTl SEARCH <br /> Ira <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP srM(LOP ) 0 HOUSING ABATEMENT E3 SOLID WASTE FACILITY <br /> O FOOD FACILJTY 0 SOLID WASTE VuHIGLE <br /> OTHER CLEANUP SITE(NON-LOP) 0 DOG KENNY. 0 DAIRY <br /> UNDERGROUND TANK(MONiTORINGIRE1MOVAL) D CHICKEN RANCH © FitG TREATMENT PLANT <br /> HALARDous WASTE GENERATOR ❑ pno'MLIHOTEL O PtjNIPER TRUCK/YAR0MHRtA TQHLE7$ <br /> O TIERED PERM(rTED FACILITY 0 POOLlSPA ❑ LAND USE!APPLICATION SITES <br /> ❑ TATTOOIBODY PSIRGING ❑ OTHER(PLEASE SPECIFY) -- <br /> 0 MEDICAL WASTE FACILITY <br /> 1. List up to ten addresses In the space above. Select the typa(a)of fusel from the Kst above by checking <br /> the appropriate box(es). At least one 011e type MUST be aeleCtad. M 40. 20R 4 iLEa <br /> �ydreae indicated above. <br /> 2, EHD will rlotlfY the applicant If any EHD files exist. An appointment for riv+ie w will be confirmed <br /> approximately five business days but no later than ten(10)days after rec*iPt of a plAlcation. The Ellen: <br /> will be held for a maximum of five business days for review. Appointrmellts should be scheduled <br /> accordingly. <br /> 3. Afile that Is actively being worked on by EHD Stall'play not be immedlatllly H-Va1121110 for ravlow, Anow <br /> application may be submitted when the iile Is available. <br /> q- Any ale not returned in the sJNme condition as released will be rerar uir Er tag Oaldleposiitaprifleto nsvllpw. <br /> of the applicant. Future file reviews by the Sams applicant may q <br /> b. 'TENTATIVE appointment date3 must be confirmed with EHD staff. <br /> 6. Applications recahmd after 3:00 pm YAII be procasred the next busirta:I.s,day- <br /> CONFIMED APPOINTMENT DATE TIME � -- - <br /> DENTE CONFIRMED <br /> 'PHONPE FAX. IRf-nAL£ <br /> REVIEWED YES NO REVIEW DATE <br /> ;gyp I <br />