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04/07/2003 17:11 925283'-''1 AEI CONSULTANTS _',F3 PAGE til. <br /> 04/07/ `_ ��' �/ EWIRONT1ENTAL h�_TiH PAGE ";111-r <br /> DA'M ':; L� \I I= J EHp LOG NUMOFR <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> APR 0 8 2003 ENVIRONMENTAL HEALTH DIVISION {I <br /> 304 EAST WEBER AVENUE,THIRD FLOOR R3 <br /> ENVIRUPIMENT HEALTH STOCKTON CA SS202 <br /> PERMIT/SERVI � (209)468-3420 ((_` �jL W/C�-DD <br /> VbBLIC RECORDS RELEASE APPLIGATION <br /> c ' APR 0 8 2003 <br /> kHONE <br /> PLICANT L \ J � � BUSINESS/AGENCY � GK <br /> DRESS CGctr`,i ;=nlvlunn n�cn�, HEALTH <br /> �� S3 D12-A __ ¢FACSIMILE Q2 rL _ PERMIT/SERVICES <br /> APPOINTMENT DATE �4 11b S TIME <br /> (Please give 7 to 10 budinm days from date of application subrIF5) G� y <br /> o �J <br /> CHECK BOX TO EXPEDITE REQUEST-$89.100 FEE <br /> -R6 UEST PROCESSED 1N 3 BUSINESS DAYS � n <br /> SIGNATURE OF APPLICANT Y t►"�• <br /> fDATE ) 2 fJ __ <br /> THIS SIDE EI-103 TAFF USE ONLY- <br /> FILE ADDRESS PROGRADI ELEME1M SEARCH <br /> lkou Train S A)0_6d <br /> A)a JX4 _ <br /> •12,50 Wri"C\ U no Va • <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) D HOUSING ABATEMENT o SOLID WASTE,FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACAM 0 SOLID WASTE:VEHICLE <br /> UNDERGROUND TANK(MONI'rORING/REAOVAL) O DOG KENNEL 0 DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 PKG TRFATMENT PLANT <br /> D 'n@RECt>yERMn7EDFACR.nY E3 IAOTELIHOTEL CI PUMPERTRUCKIYARD/CHENITvlt�ra" <br /> ❑ TATTOO/BODY PEIRCI CI Cl POOUSPA Q LAND uss APPUCATION 5rres <br /> O MEbICAL WAST7±FACILITY ❑ Q OZFIL=R(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of flies fnam the list above by clhecking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 4E'L-138 or maul to the <br /> address Indicated above. <br /> 2. EHD will notify the appliesr%t If any EHD flies exist. An appointment for r�:lview will Ise confirmed <br /> approximately five business days but no later than ten(10)days after receipt of,application. The fifes: <br /> will be held for a maximum of five business days for review. Appolntrneitits should be scheduled <br /> accordingly, <br /> 3. A file that is actively being worked on by EHD staff may not be immedi:atnly available for review• A nev <br /> 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 /> of the applicant. Future file reviews by the same applicant may require a 889.00 deposit prior to reviev <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next businers day. __ w <br /> TIME post-jr,F�Ix Note 7671 �. <br /> CONFIRMEDAPPOINTMENT DATE ,b ,inn i4h <br /> DATE CONFIRMED PHONE FAX Sao . <br /> Phone#�. <br /> REVIEWED YES NO R>AIEW DATE - <br /> Fax R q.lg/ d �d. <br /> ,rss <br />