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07/17/03 10:18 FAX 21.1 630 7070 HBC ENGINEERING [ 1001 <br /> I <br /> DATE RELEmb EMD LAO NUMBER <br /> SAN JOAQUIN COUNTY 05 t9 <br /> ENVIRONMENTAL HEALTH DEPARTMEW <br /> .J U L 1 7 2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> H,;ICJNUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Pk�- 1 L� n ��c BUSIINESSIAGENCY <br /> ADDRESS 9�I�i I Lao-01� 1`�`( I PC> <br /> y <br /> �7 <br /> PHONE o21 W - (OI O FACSIMILE C2 1 Y�30 <br /> TENTATIVE'APPOINTMENT DATEam rT'al�O3 TIME <br /> (Please give 7 to 10 business days frog d e of applicatlon submittal) 3 Q5 <br /> CHECK BOX TO EXPEDITE REQU T-$89.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS Un i + 3 <br /> SIGNATURE OF APPLICANT DATE O <br /> THIS SIDE EHD STAFF USE ONLY <br /> FILE ADDRESS _ PROGRAM ELEMENTS SEARCH <br /> u <br /> II G <br /> Ivio VL~ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) M FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> Cl TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> El TATTOQ/BODY PEIRCING ❑ POOL/SPA ❑ 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 4640138 or mail to the <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 /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMEQ APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITI . <br /> REVIEWED YES NO REVIEW DATE <br /> FNo ca-a7.uQC <br /> sneneoa <br />