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07/11/2003 13: 47 2094671] IQ AGE STOCKTON PAGE 01/01 <br /> DATE RECEIVED l i.. I eno BOG <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Il,il_ 1 1 LO03 304 EAST WEBER AVENUE, THIRD FLOOR V' <br /> STOCKTON CA 95202 <br /> 1Li I? (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT f�2Y� h NL) BUSI/N1ESSIAGENICY /� r~Qdt � �11U1►'�711/1�t n Q <br /> ADDRESS aJ [ Shat-(�Rh a /, yt (��4��J�� (L}J"C (� ��}�aZ 1 <br /> PHONE_ M - A ^� l` ID06 "FACSIMILE Z + - `i ( <br /> TENTATIVE`APPOINTMENT DATE_!t4 joh, -206.3 TIME •v�/ <br /> (Please giva 7 to 10 businas days from data of application submittal) <br /> CHECK BOX TO EXPEDITE REQ -REQ ESTDPROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT= p DATE U <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> qJ q t e-CCLN 4t D <br /> � t s <br /> 1.�7 • Y1 rA x_140 L <br /> Ql _ <br /> 14T <br /> A•IC i 1 _ <br /> _ a <br /> yl�eu)_t_o0 N6 e <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORIN(3IREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELlHOTEL ❑ PUMPER TRUCKIYARD/CHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the fist 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. 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 /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> ENO as-02-W8 - ---.--- ---�.� <br /> 3/26!2003 <br />