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FILE ADDRESS THIS SIDE END STAFF USE ONLY <br />PROGRAM ELEMENTS SEARCH <br />4 <br />Cot-mei,- 0,r Pkort-,;,, p.-;.e cr..,..e Co,. -...e ev e .4 ...e--.....0 _ <br />APN "43 a.2.1- ( CI -.J 1)6.,e 1,,,,,,-.4. M..-.4er....., C A- <br />Fr-o•-•-• %-c, is- E,...K2K...v,-, /3 '79' Yo:-1-e A ,..?,...•e- fik.---Pc4, <4 <br />i 70O Vos-e—; It c /14-i-----c 1144,,-k-e0.„ CA 1 <br />Arco -4 60o..0 /7(/ Yose.,;/e_ A ve-s-e 141Ahrir.a,‘ 01- <br />X\ 7 T F...2 <br />. ...lb. <br />1 <br />bo <br />3) <br />IN <br />445/2002 10:59 FAX <br /> Z.002/002 <br />CATE RgCENED <br />• <br />q!1;!•2, <br />SAN JOtAwJIN COUNTYPUBLIC HEALTH SER .ES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />P\ \' (209) 468-3420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />E1-10 LOG NUMBER <br />dt9,2, <br />APPLICANT 7`rt:7 -"174`c"-Z,&- cc,— BUSINESS/AGENCY <br /> <br />ADDRESS <br /> <br />941 .7 - /34/,c FACSIMILE q47-e-- 0C-2- ( <br /> <br />SEP 2002 PHONE <br /> <br />q7/ TIME NT HEALTH <br />ERVICES <br />TENTATIVE APPOINTMENT DATE <br />(Please g a 7 to 10 bustr fro te of aPP lion SUblill io$16 <br />E/ CHECK BOX TO EXPEDITE REQUEST - . - REQU ST PR SID IN BUSINESS DA <br />SIGNATURE OF APPLICANT DATE <br />ENVIRONMENTAL HEALTH DIVISION FILES SEP 12 2002 <br />../161LINDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />,Xf.4,0THER CLEANUP SITE (NON-LOP) <br />-•• HDERGROUND TANK (MONITORING/REMOVAL) <br />HAZARDOUS WASTE GENERATOR <br />CI TIERED PERMITTED FACILITY <br />TATTOO/BODY PEIRCING <br />MEDICAL WASTE FACILITY <br />HOUSING ABATEMENT <br />In FOOD FACILITY • <br />DOG KENNEL <br />CHICKEN RANCH <br />MOTELJHOTEL <br />pOOLJSPA <br />CI PUBLIC WATER SYSTEM <br />SOLID WASTE FACILITY <br />SOUD WASTE VEHICLE <br />CI DAIRY <br />O PKG TREATMENT PLANT <br />CI PUMPER TRUCK/YARD/CHEM TOILETS <br />1:1 'LAND USE APPLICATION SITES <br />CI OTHER (PLEASE SPECIFY ABOVE) <br />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 _hidicated above. <br />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 />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 />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 987.00 deposit prior to review. <br />*TENTATIVE appointment dates must be confirmed with EHD staff. <br />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 />04 14 14 0447/00