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07/11/2003 13:47 20946711-18 AGE STOCKTON PAGE 01/01 <br /> DATE RECEIVEDIt <br /> SAN JOAQUIN COUNTY r„oLoo <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1 12_003 304 EAST WEBER AVENUE, THIRD FLOOR V^ <br /> STOCKTON CA 95202 <br /> �1Li hi (209)468-3420 `^ <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT hrttN�BUSINESSIAG•ENICY 1u ftLed Geo Enu)onlYt n1Qfl <br /> ADDRESS <br /> ^^ � Q S �JV l ,U� (24 (� a <br /> IS <br /> PHONE _OCQQ 4tn l` � �Q FACSIMILE cZ l(� " `l la [�} <br /> TENTATIVE"'APPOINTMENT DATEI. A jQA �D� TIME •�� in <br /> (Please give 7 to 10 burinessf days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQ $89.00 FEE—REQ EST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE C <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROQRAM ELEMENTS SEARCH <br /> 12 1r Q � aid O , <br /> t s <br /> cit �W - <br /> L4 I Qt1 m . �o L S�` <br /> a <br /> wi <br /> 'i�,44735-3 <br /> n a <br /> w > <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(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOO/BODY 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 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. 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 /> Euo 48-a;-096 .. <br /> J126@003 <br />