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05/27/2003 15:44 2094683`, FIFTH FLOOR PAGE 05 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 96202 <br /> (209)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT .r C LC> fit,,( RUSINIESWAOt Y �/2 <br /> ADDRF_SS y 7" ��1 c j �/ <br /> PHONE RACSIMILE _XZ6—J ' fI <br /> TENTATIVE"APPOINTMENT DATE TIME <br /> (Please give 7 to 10 business days from date of aPPIiWtivn submittal) <br /> CHECK 610X TO EXPEDITE R9QUFST-$189.00 FI<P—REQUEST PPOCEssED IN 3 BUSINESS DAYS J <br /> SIGNATURE OF APPLICANT G1 � � DATE <br /> FILE ADDRESS THIS SIDLE STAFF USE ONLY <br /> PROARAM ELEMENTS SEARCH <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) L7 HOUSINGS ABATEMENT ❑ SOLID WASTE FACILITY <br /> IM OTHER CLEANUP SITE(NON-LOP) © FOOD f=ACIUTY ❑ SOLID WASTE VEHICLE <br /> D UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR In CHICKEN RANCH ❑ PKG TR'E'ATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY 0 MOTEUHOTEL 11 PUMPER TRUGKIYARDICHEM TOLIFTs <br /> ❑ TATTOOISODY FORCING 0 POOI.JSPA ❑ LAND USE APPLICATION SIT FS <br /> ❑ MEDICAL WASTE FACILITY M OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the apace above. Select the type(s) of flies from the list above by checking <br /> the appropriate box(es). At Ieast one file type MUST be selocted. Fags to(20,9)464-013 or mail to The <br /> address indicated above. <br /> 2. EHD wtll 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 flle 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 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$89.00 deposit prior to review_ <br /> 5. "TENTATIVE appointment dates must he confirmed with EHD staff. <br /> 5. ,Applications received after 3:00 prn will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE _ TIME <br /> DATE EONFIRIIIILD. PHONE FAX INITIALS <br /> EVIEWF-13 YES NO REVIEW DATE <br /> y�y2oos <br /> TO/T0 39Vd NOiA301S 39V BTTTL9b60Z 5Z:91 600Z/LZ/50 <br />