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05/03/2002 11:03 FAX 209 948 062' KLEINFELDER 0001/001 <br /> onTerucEvED SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR 1!1:A j { <br /> STOCKTON CA 95202 r �- <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION2 pu <br /> CrqAPPLICANT <br /> I C L_. t L(v V �4 gUSINESSIAGENCY, L <br /> ADDRESS ' r r <br /> 4$ 13'4i--. FACSIMILE <br /> PHONE ( S rC�ol <br /> TENTATIVE-APPOINTMENT DATE fjS SL'y`� 5 1� TIME <br /> (Please glue 7 1 us ess da s fY date of application submittal) <br /> 0 CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE—REQUE PROC SSED IN 3 t3USINESS BAYS <br /> - � ? 6 <br /> SIGNATURE OF APPLICANT DATE <br /> s <br /> FILE ADDRESS THIS SIDE EHD STAFF SSE ONLY <br /> PROGRAM ELEMENTSiSEARCH <br /> 3s� <br /> � Z r p fi s c r`s✓C.vv f. <br /> SID TRS+r..I /-!oc_'► />/l I N C' <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> E3 HOUSING ABATEMENT ❑ SOL10 WASTE FACILITY <br /> +--UNDERGROUND TANK(US')CLEANUP SITE(LOP) E3 FOOD FACILITY c3 SOLID WASTE VEHICLE <br /> THER CLEANUP SITE(NON-LOP) d DOG KENNEL ❑ DAIRY <br /> O UNDERGROUND TANK(MONITORING/REMOVAL) O CHICKEN RANCH 13PKG TREATMENT PLANT <br /> L7 HAZARDOUS WASTE GENERATOR C3 MOTEUN RAN ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> TEL <br /> 13 TIERED PERMITTED FACILITY n POOUSPA ' - 13LAND USE APPLICATION SITES <br /> ❑ TATTOOIBODY PEIRCING ❑ PUBLIC WATER5YSTEM O OTHER(PLEASE SPECIFY ABOVE) <br /> ❑ MEDICAL WASTE FACILITY <br /> e s of files from the list above by checking <br /> 1. List up to ten addresses in the space above- Select the typ ( ) <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464-0138 or to the <br /> mail <br /> address indicated above. ointment for review will be confirmed <br /> 2. . EHD will notify the applicant if any EHD files exist An application. The files <br /> approximately five business days but no later than ten(10 days after receipt of app <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. EHD staff ma not be immediately available for review. Anew <br /> 3. A file that Is actively being worked on by Y <br /> application may be submitted when the file is available. EHD staff at the expense <br /> 4. Any file not returned in the Same condition as released will be reorganized by <br /> of the applicant. Future file reviews by the same applicant may require $87.00 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 /> I <br /> CONFIRMED APPOINTMENT DATE TIME <br /> I <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE R - <br />