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f--1 - <br /> 02/13/2003 15:00 4540136 ENVIRONMENTAL HEAaLTi-. PAGE 02 <br /> "-STAN JOAQUIN COUNTYPUELIC HEALTH SERVICES � <br /> ENVIRONMENTAL HEALTH DIVISION <br /> FEB 1 3 2003 304 EAST WEDER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 , <br /> i' ... ,I•;v1=w 4 f r1Ll I! (209)468.3420 <br /> ti TrSEi'VICOUBL1C RECORDS RELEASE APPUCATION <br /> APPLICANT A. nustNEs.WAo><NCY G NEL�E 1NC� N�• _ <br /> ADDRP-93_2a:� _ r-AWLLo AV t,�asA r 1. <br /> PHONIE S O2. 43- o FAaSIMILE <br /> TENTATIveO APPOINYMt:NT VAYti <br /> (Please Olvo y to 14 buall ?4ys from dale 91 opplleaUon aubmitiall <br /> u n <br /> cWCCK nox TO EXPL-rrrrE RCCIUEST-$89.00 F R PROCESSED IN 3 Su81NESS DAYS (—J�J <br /> "SiGNA1'URE OF APPLICANT DATE Zr7f 1PV .r r <br /> ra <br /> 61LE A0014113S THIS SIDE END STAFF USIZ ONLY <br /> PROGRAM V-LCIMI:NTS SEARCH <br /> yj <br /> 37 mim-C PW <br /> - - -• ,. .. .,.,., Vis,,; ! � i <br /> ENVIRONMENTAL HEALTH DIVISION F=ILES <br /> d$ UHUERGROUNO TANK(11P3'f)CLEANUP SITE(LOP) ❑ HOUSING ABATEmrr.NT SOLID WASTE FACILITY <br /> O OTHER CLEANUP W M(14ON-LOP) O FOOD FACILITY O SOLiD WASTV VEHICLE <br /> -� .NO TANK(IAONITORiKGIRLMOVAL) O DAG KENNNEL O VARY <br /> SAROOUCCHICKEN RANCH O PKG TR <br /> EATMENT PLANT <br /> C1 TIRRlib PRRMrr VO FixclUTY O MOTELl"MI.. ❑ PUMP"- TRUCKrrAtIO1Ct1EM YOILIETO <br /> O TATtOOMODY PEIRCINU O POOIJBPA O LAND USE <br /> APPLICP ION SITES <br /> O MI:OICAL WASTE FACILITY , <br /> List up to ton addresses in the space above. Select the type(s)of files from the list abovo by chocking <br /> the appropriate box(es). At least ono fila typo MUST be selected. FaX Igo(y 99)4_61-0130 or mnil to Ihq <br /> addros6lndigito aboVc. <br /> 2 EHD will notify the applicant it any END files exist. An appointment for review will bo confirmod <br /> approximately live buslness days but no later than ton(10)days after receipt or application. The files <br /> will be hold for a maximum of live business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A fila that jA actively being worked on by EHi) staff may not be Immediately available for review. A new <br /> Application rriny be-submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be roorganizcd by EHD staff <br /> of the applicant. Futuro ilia reviews by the same applicant may require a $09.00 deponif <br /> 5. 'TENTATIVE appointment dates must be confirmed with END staff.. <br /> .0. Applications received atter 3:00 pm will be procossed the next business day. <br /> CONFIRMED AAppap mm,DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REViEWED 'YES NO IIEVIEW DATE <br /> Zd WdZ£:SO £002 :.t OZ417209SZ6 'ON XUJ D11 W08A <br />