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'— J18. 2004 1 : 02PMI ENVIRO 209 . 369 .4228 No • 5532 P • 2 <br /> DnTE necWC:! FHD 40G NUeaEa <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SE ICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> �•, ,, 304 EAST WESER AVFNUE,THIRD FLOOR <br /> STOCKTON CA 85202 <br /> JUN 18 2004 (209)463aa2o <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> aPp kf i Q! W CAVe r BUSINEUMENCY Nei 1 0 A, e.ssoy)`4 A5s-oaa4-cS <br /> ADDRESS -9C2- -r r7 4S-+ri G\ W.4y LOA \ -c A �f 5 2`•(O <br /> PHONE �� ( '3 n I --7161 FACSIMILE �Cn9 3 C) - Ll z Z 8//,�} � <br /> TENTATIVE'APPOINTMENT DATE !/� �/-��� ^�.L-/ nME 8'040 ' "/'� • <br /> (Ptoasa Alva 7 to 10 buslnoss days from date ofippiNation submittal) ' <br /> CHECK BOX TO EXPEDITE REQUEST 0 F -R qU PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT of ' . 1 DATE <br /> Eo90-72A <br /> FILE ADDRESSO - THIS SIDE END STAFF USE ONLY <br /> S Foc Ic 4 pg, C I S ZO S PROGRAM ELEMENTS SEARCH <br /> 10-50 S. ))igm mal 54- can^.e..ct t'Jsin•..F ` <br /> /705 C Man o t)ocl 4)� <br /> /751 Mum. 254 L <br /> I4 <br /> Leta <br /> I o3 <br /> S) <br /> 2 <br /> ENVIRONMENTAL HEALTH DIVISION FILE$ <br /> �...UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITY <br /> L9-OTHER CLEANUP SITE(NOR-LOP) 13 FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONMORINGIREMOVAL) ❑ 000 KENN" O DAIRY <br /> g-HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKO TREATMENT PLANT , <br /> C -T7ERED PERMTfEO FACILRY O MOTELMOTEL PUMPER TAUCH/'rARDICNEM TOILETS <br /> O TAT7OO/90DYPEIRCING d POOLISPA ❑ LAND USE APPLICATION SITEs <br /> • MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. $elect the type(s)of files from the list above by checking <br /> the appropriate box(as). At least one file typo MUST 130 eoloetod, Fax to(209)464.0136 or malt to the <br /> address indicated above. <br /> 2- EHD will notify the applicant K any EHD tiles exist. An appointment for review will be confirmad <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of frve business days for review. Appointment$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 filo 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$80.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with FHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATECONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />