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MODEST(] ATC "" PAGE 01 <br /> 08/28/2002 16:53 20e 9-2225 <br /> Y <br /> .C, M, <br /> SAN•JOAQUIN COUNTYPUBLIC HEALTH SERVIC <br /> ENVIRONMENTAL. HEALTH DIVISION <br /> 304 EAST WESER AVENUE,THIRD FLOOR ��U <br /> STOCKTON CA 95202 <br /> (20x) 463-3420 AUG 2 9 2402 <br /> _ PUBLIC RECORDS RELEASE APPLICATION <br /> t, <br /> APPLICANT {�I Q �1 �J1 AT <br /> DU51NE551AGENCY. ._ _ pFRUITISERV ICES <br /> ADDRESS �I E� I��lJ4t 1�G.�W► A-Srtok,^ r SJti � NI <br /> PHONE 5 Z Z�1 FAC51WLE �4 S 4 Z Z'L <br /> TENTATIVE*APPOINYMENT DATE TIME <br /> (PIC150 DiVa 7'ta 1O buailles5 da s from to of applicatlon�ublnitlal) - <br /> CHECK BOX TO,[XPEI]1TE REQUEST-$07.09 FE SST PRO SSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT A-J� DATE `B. �`� 4Q-L <br /> FILE AODRL=SS THIS SIDE EVID STAFF USE ONLY <br /> PROGRAM ELkMCNTS SEARCH <br /> ! t 13 1nv.,� o4d Stec K�� f <br /> t t-b N. <br /> -4-f <br /> Z Zso-L <br /> 5 S ;l rt-t P-c,d 46, R:wn <br /> t4 951 <br /> Z'S S. o,,.�q I= +2r�eclr :vt-rtl►o�K i . <br /> 'a <br /> ,i ENVIRONMENTAL HEALTH DIVISION FILES ' �. <br /> NDI&RGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING A13ATEMENT a SOLID WASTE FACILITY <br /> �1 OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE: <br /> C3 uNor-RGROUNO TANK(MONITORINGtRCMOVAL) 0 DOG KENNEL 0 DAIRY <br /> 0 HAZARDOUS WASTE GE=NERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED PERMIYT O FACILITY D MOTEL/HOTEL O PUMPER TRUCIVYARDICHL-M TOILETS <br /> ❑ TATTOOIBODY PWIRCING 0 PQQUSPA ❑ LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTI:FACILITY O PUCLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ADOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of filos from the list above by chocking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the <br /> address lndicated above. <br /> 2. EHD will notify the applicant if any EMD 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 hold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is UCtivoly beincd 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 Tile not returned in the SUMO condition as releasad will be reorganized by EMD staff at the expense <br /> of tko applicant. Future file reviCws by the same applicant may require a $37.00 deposit prior to review. <br /> S. "TENTATIVE appointment datos must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED RHONE FAX INITIALS ` <br /> REVIEWED YES NO REVIEW DATE <br /> SH 00tt /pp <br />