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FRDIl - .Gogo P6ase En vircrxiientaFAX HO. : 2095690295 2tdul bc7'�{.�p�{.Sufi r <br /> �� <br /> ' ') Clio LOU MUMII� <br /> 5 I �����SAN ,lOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> n JUL 3 '.1 2001 ENVIRONMENTAL HEALTH DIVISION <br /> {1� ♦ 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (21)9)468-3420 <br /> PUBLIC RECORDS RELEASEE�A�PPILICATION <br /> APPLICANT .7r z3roxe TliG e'g►'aj- BUS INESSIAGENCY �yA15is <br /> ADDRESS_AV,7 (/Pnt e!- aw <br /> PHONE 6-04 e-"aF� FACSIMILEE� <br /> 7ENTATIVE'APPOINTMENT DATE r TIME <br /> (Please dive 7 to i o business days from ate of application submittal) <br /> B/ CIiU/TJ`� 31 `,�/ <br /> CHECK EOX 70 EXPEDITE REOUEST;,§3&'b/e FEE-REQUEST PROCE55Eb IN J BUSINESS PAYS <br /> SIGNATURE OF APPLICANT,_/'„� _ DATE <br /> FILE ADDRESS ' <br /> 9 R G 35 <br /> ,. <br /> r n ,r <br /> t - <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> u%NDERCROUND TANK(UST)CLEANUP SfTE(LOP) O HOUSING ABATEMENT E) SOLID WASTE FACILITY <br /> 13 SOLID WASTE VEHICLE <br /> ❑ OTHER CLEANUP 517E tNON•LOP) ❑ FOOD FACILITY <br /> UNDERGROUND TANK(MONITORINGMEMOVAL) a DOG KENNEL ❑ DAIRY <br /> .Y HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH n PKG TREATMENT PLANT <br /> ❑ TIERED PERMrrr50 FACILITY ❑ MOTEIHOTEL D PUMPER TRUCKlYARD)CHEM TOILETS <br /> ❑ TATTDOIDODY PORCING O POOLiSPA ❑ LAND USE APPLICAIION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY A6oV0 <br /> i. List up to ten addresses in the space above. Select the typa(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)464-0136 or mail to the <br /> address indicated above <br /> 2. EHD will notify the applicant if any END filets 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 hold for a maximum of five businoss days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file'that is actively being worked on by END staff may not be immediately available for review. A new <br /> appligation 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 $78.00 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 procossed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> I REVIEWED YES NO REVIEW DATE <br /> EN 00 t{ o�mLoo <br />