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F-ROM NOA Env i ronmenta 1 U PHONE NO. 209 369 4228 May. 14 2003 C13:2PN NvueEx <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SaE:RVICEr END 1�04 <br /> ENVIRONMENTAL HEALTH D11/1Siopi <br /> 364 EAST WEBER AVENUE,THIRD FLOC)R qq <br /> MAY 1 j 2003 STOCKTON CA 95202 <br /> ` (49)468-3420 <br /> „; Nt:QJh PUBLIC RECORDS RELEASE APPLIICATION <br /> APPLICANT !i d"ltJ BU31NR?SSIAGENCYAl <br /> ADDRESS Z 54;t L t..K2 L441, <br /> PHONE Lz S z-7 3701 FACSWILE�"q369 — :z{ <br /> TENTATIVE'APPOINTMENT DATE410b C>�r TIME ' L►:�-•�= •. 3 L7 t7(Please glvo 7 tot s days f oadate of application siul millat) ���a <br /> 13 CHECK BOX TO EXPEDITE RIE:QUEST- EE-•+g�QUES,T'PROCESSED IN 3 BUSINE.Is DAX: <br /> y .� / � .Q <br /> SIGNATURE OF APPLICANT L /�-- .W DATE _L63 <br /> FILE:ADDRESS . ASTAFF USE"ONLY <br /> k <br /> PR(JGrtAM;J.EMENTS SEARCH <br /> 101 rl ,, .�..,.... <br /> i <br /> 2�'70o Al <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 0 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING A13ATEMF-IT M' SOLVE)WASTE FACILIrr <br /> If OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY rv-SOLID WASTE-VEHICLE: <br /> Cr UNDERGROUND TANK(MONITORINGIREMOVAL) 13 DOG KENNEL C D.AIR`r <br /> M'HAZARDOUS WASTE GENERATOR O CHICKEN RANCH O PItG TREATRIENT PWIT <br /> MrTIERED PERMITTED FACILITY 0 MOT:_I JHOTEL 10 PIIMPIER T'F.tICK/YARDICHEN TOILETS <br /> ❑ TATTOOIBODY PE:IRCING ❑ POO:USPA O LAND'J$C ArMPLICATION SITES <br /> O MEDICAL WASTE FACILITY 0 PUSIIG WATER SYSTEM 0 CTHEI I(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s)of fillas froin the list above by Checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax 10 41id-0138 Lr_mall the <br /> address indicated above. <br /> 2. EHD will notify the applicant If any'EHD filos exist. ,An appointment I'o;r review will be confirmed <br /> approximately five business days but no later than ten(10)days aftor recoipt of application. The files <br /> will be held for a maximum of five businesa 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 immodlately 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 FIiD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a 3139.00 cleposit prior to ruview. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3:00 pm will be processed the next busirlevs,day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE `FAX INrT'IA;LS <br /> I REVIEWED YES NO REVIEW DATE__,,_,.., <br />