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* 10`39tid _1d101 ** tNV1KUNMtNIAL MtAL" PAGE 01 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICESDD <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ���I�r 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 ( . <br /> JAN 15 2003 (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> " PST <br /> � ��I,lW01dl <br /> (.0 rra h BUSINESSIAGENCY_ <br /> ADDRESS Wux� ✓ 1 S �(6 nj (, 5401 <br /> 'I <br /> PHONE 51 o'- a l q'"t adQ FACSIMILE �Q �2 ` j-7V7(, <br /> TENTATIVE'APPOINTMENT DATE � � 1 a� I Q 3' TIME YYIITY Y1 I h � <br /> (Please give?to 10 bu inesadays from date of application suhmlttat) <br /> CHECK BOX TO EXPEDITE RE EST-$00.00 FEE EQUEST PROCESSED IN 3 BUSINESS DAYS <br /> U } <br /> SIGNATURE OF APPLICANT DATE Ir' D3 <br /> FILE ADDRESS THIS SIDI:EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> ti. m st• + us <br /> N. i St. I/07 Aj Moi mot2�pcg, �., <br /> Ll1ST <br /> J�rlrt) <br /> ENVIRONMENTAL HtAL.TH DIVISION FILES <br /> )UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILnY O SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG K9NNEL. 0 DAIRY <br /> O HAZARDOUS WASTE GENERATOR O CHICKEN RANCH O pKG TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY D MOTEUHOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br /> 0 1 ATT0019ODY PEIRCtNG O POOUSPA O LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY C7 PUBLIC WATER SYSTEM G OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail to tht, <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than 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 /> 3. 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 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$89.00 deposit prior to review. <br /> S. "TENTATIVE appointment dates must be confirmed with EHD staff- <br /> Applications received after 3:00 pnt will be processed the next business day. <br /> CONFIRMED-APPOINTMENT DATE TIME, <br /> fDATE CONFIRMED PHONE . FAX INITIALS <br /> REVIEWED , YES NO REVIEW DATE <br /> eev.acn. .r+s+ 21j 80:zT 200Z ST NHL <br /> TO/10-d 82T0b91760ZT 01 <br />