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07/17/03 10:18 FAX 214 630 7 HBC ENGINEERING _ _,.. _ 10001 <br /> 1FBa WO NUMBER <br /> DATE Mdi n0 -fi SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEN' 1002Dg <br /> JUL 1 ( 1003 304 EAST WEBER STOCKT AVENUE,THIRD FLOOR <br /> CA 95202 <br /> (209)468-3420 <br /> n,,,, '-- Ii ;ICIPJUBLIC RECORDS RELEASLE�APPL�IICDA�T�IO�N <br /> APPLICANT Fln�h�=LLL LIDn BUSIINMES.SIAGENCY TT V.3-- ( hn-a.`�7T1%�I� <br /> ADDRESS Ili I c.11-0 1 � 1� �Y-�•c^""`� � fX.> rllr-l7.-F I .)(�� 75 a y`7 <br /> PHONE�Iy-IP167: Olo FACSIMILE oI-(y'tD3�- ` ��� ) <br /> TENTATIVE'APPOINTMENT DATE - - q10.3 MIME <br /> 3 <br /> (Please give T Mb business days frog d e of application submittal) <br /> a, <br /> tfi+ CHECK BOX TO EXPEDITE REQU. T-$89.00 FEE-REQU <br /> ES <br /> T <br /> PROCESSED IN 3 BUSINESS DAYS u n 1+ <br /> SIGNATURE OF APPLICANTQ�4L &_Y - '-""�"^'c`\ DATE <br /> VVV THIS SIDE EHD STAFF USE ONLY <br /> FILE ADDRESS PROGRAM ELEMENTS SEARCH <br /> N K <br /> ID I X25 NC <br /> 2b Gou L nnPF,RS+h1< cam- <br /> II Y C <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 11 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) In FOOD FACILITY 17 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 13 PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY El MOTELIHOTEL O PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ POOLISPA 0 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail to the <br /> address indicated above. <br /> 2. END will notify the applicant if any END flies 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 END 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 END 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 /> 5. "TENTATIVE appointment dates must be confirmed with END staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED <br /> PHONE FAX INITIALS a ' <br /> REVIEWED YES NO REVIEW DATE <br /> CHo ae.ouN <br /> vzV�ooa <br />