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TERRRCON - RENO pax 715-s51-1415 :fan 4 1UU2 14:.,>5 I .0Z <br /> f=NVIRlJtJMENTAL 1 EFr. PAGE el <br /> 01/04/2002 14:35 464013 1// .' 4ac <br /> Dn7E fCt. 4 Ite 1 i 77 <br /> SAN JOAQU�N COUNTYPUBLIC HEALTH SERVICES /UL <br /> RuSH ENVIRONMENTAL HEALTH DIVISION. ,� r <br /> 304 EAST WEBER AVENUE,THIRD FLOOR r�/ <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION - <br /> x APPLICANT O tG� BUSINESSIAGENCYt? <br /> ADDRESS 6 l..t Mi <br /> - , Sews s V <br /> PHON ­FACSIMILE 7111 3S�fZ Yz <br /> Koo ar Cue1 ( �.. TIME _ <br /> TENTATIVE`APPOINTMENT PATI~ <br /> (Please give 7 to 10 134SIness dabs rem4ate of appAtallon submlttaq <br /> � <br /> E- EQUEST ROCE5SED IN 3 BUSINESS DAYS <br /> rYE REQUEST-39a.aD F'E R <br /> GHECK BOX TO EXPED Q <br /> ( o <br /> SIGNATURE OF APPLICANT -�-� DATE <br /> . . . ........FILE AD13RESffi THIS 910E Ei STAFF USE ONLY <br /> PROGRAM ELIEMENTS SEARCH <br /> Z 1213 G <br /> RO A'0 <br /> ENVIRONMEN-rAL HEALTH DIVISION FILES <br /> C^ZMD0us <br /> 1+UtAGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATELIENT M SOLID WASTE FACILITY <br /> to FOOD FACILIrY o SOLID WASTE VEHICLE <br /> iTHER GL�/►1'IUP SITE(NON-LOP) ;] DOG KENNEL ❑ p111R1' <br /> NDERGROUND TANK(MONITgRINGlfitFA+10YAL) O CHICKEN WIHteH d Pica TREATMENT PI.AN r <br /> WASTE GENERATOR p CHICKEN KMTEL ❑ PUMPER T9UcWAAbtdHEM MLETS <br /> ❑ TIERED PER>a1YTen FACILrrY t7 POTEUMOOLISPA C1 LAND USE APPLICAYIOH STM$ <br /> Q TATTOWBODY 1P1EIRCING p PUBLIC WATWE SYS r;m Cl OTHER(PLEASS SPECIFY ABOVE) <br /> Q ea>:aICAI,WASTE PACILRY � • <br /> �, List up to ten adnres5e&in the space above. .5elect the type(s)of fifes from the list above by checking <br /> the slpplropriate box(es). At least one filo typo MUST be Selected. Fax to 209 464-0139 a i to! <br /> Adftapindicated a v <br /> 2. EHD will notify the applicant it any EHD tilos exist. �+appoifti�fn apft�orireview a1) �i�ati nr 7tte files <br /> approximately Five business days but no later than ten(10)days P pP <br /> will be held fora maximum of five business days for review. Appointments should be Scheduled <br /> acaordl ugly. <br /> 3. A file that is actively being Worked on by EHD staff may not be immediately available for review. A naw <br /> application may tie submitted when the file is available. <br /> A, Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future filo reviews by the same applicant may regyjre a Sas.00 deposit prior to review. <br /> S. •TENTATIVE appointment dates must be conflrmed with EHD staff. <br /> s. Applications mcolved tetter 3:00 pm will bo processed the next business day. <br /> CONFIRMED APPOINTMENT DA`F- TIME <br /> DATE CONFIRM1:0 PHONE FAX INITIALS �--- <br /> REVIEWED YES NO REVIEW DATE �_.-- <br />