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-JUL-11-03 FRI 01 :59 PM SAIC - SACRAMENTO FAX NO. 916 974 8830 P. 02 <br /> EMD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ,JUL 1. "i 2003 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304.EAST WEBER AVENUE,THIRD FLOOR <br /> •! r�" ''i'r '' i LTH STOCKTON CA 95202 <br /> (209)468420 <br /> -S PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 70AD 101 BUSINESSIAGENCY <br /> ADDRESS 39<0 &;4-rr- <br /> E !2W-,WV/ <br /> r�� �-a.� , tom►¢- �1SF•Z/ <br /> PHON � FACSIMILE Cyl g i <br /> TENTATIVE*APPOINTMENT DATE TIMEG <br /> (Please give 7 to 10 business days from date of application submittal) <br /> 2 CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> _ Lo <br /> SIGNATURE OF APPLICANT DATE <br /> DDRE THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> eX <br /> a MF <br /> d <br /> f <br /> CL.— <br /> aa 3Q 44 <br /> 1'3�/ <br /> �� �8� ENVIRONMENTAL HEALTH DIVISION FILES <br /> 0,6WDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> IN OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ❑ UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL 0 DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> O TATTOOBODY PEIRCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> C3 MEDICAL WASTE FACILITY ❑ 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. END 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 retumed 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 RV > <br /> I.-REVIEWED YES NO,• -REVIE'W DATE <br /> FMv�-v�aac <br /> �ncreoos ' <br />