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Feb 11 02 04: 23p Ber :t Realtors p- 1 <br /> vci uoi tacit 14:1b 46401 ENVIRONMENTAL HEAL PAGE 01 <br /> SAN JOAQUIN COUNTYPUBLIG HEALTH SERVICES <br /> ENVIRONMENTAL. HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 r!6 3 <br /> (209)468-3420 F/4k Y <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT /'112 <yy�� l3USINESSIAG CY L iiLG�}iJ <br /> ADDRESS <br /> PHONEY % �f ���� FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> � (Please YN71 bb i�s ( appliCatio+t submittal) <br /> CHECK BOX TO EXPEDrI E REQUEST- EE=REq EU S7 CE55ED 1N 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> Lc' LD <br /> � ENVIRONMENTAL HEALTH DIVISION FILES <br /> 9�7NDERGROUND TANW(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON•LOP) [] FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> 0 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL O DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH O PKG TREATMENT PLANT <br /> Cl TIERED PERMITTED FACILITY O MOTEL/HOTEL' 0 PUMPER TRUCK/YARMCHEM TOILETS <br /> 0 TATTOWBODY PEIRCING 0 POOUSPA O LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <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(2091464-0138 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 axpense <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 EHO staff. <br /> 6. Applications received after 3:00,pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX . INITIALS <br /> REVIEWED <br /> 4"J: o0 . YES NO REVIEW DATE <br /> kt�QW 7247-01 , <br />