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DATE RECEVED sER/ - <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EA WEBER AVENUE,THl I LOOR� ? - <br /> STOCKTON CA 95202.� .., s+' Z <br /> (209) 468-3420 <br /> ALt <br /> RECORDS RELEASE APPLICATION <br /> APPLICANT �Q,f e_ SUSINESSIAGENCY <br /> ADDRESS <br /> PHONE FACSIMILE_ r � MAY 2 8 2002 <br /> TENTATIVE'APPOINTMENT DATE to e 02-•. TIME7�:/�- V�ROWE_NT HEALTH <br /> (Please give 7 p 00iness s fro to of� Eicat3arr sn miital} � PERMITJSERVlCES <br /> CHECK BOX TO EXPEDITE REQUEs -$87.0 FEE EQUEST PROCESSEI�IN WNES AYS <br /> SIGNATURE OF APPLICANT Q DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> =� <br /> -E7 <br /> n <br /> �- <br /> r <br /> �' 3521► <br />', rrtr <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Cl HOUSING ABATEMENT SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY C3 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONiTORINGIREMOVAL) ❑ DOG KENNEL C7 DAIRY <br /> IHAZARDOUS WASTE GENERATOR 0CHICKEN RANCH <br /> 13PKG TREATMENT PLANT - <br /> ❑ TIERED PERMITTED FACILITY Q MOTEL1HOTEL ❑ PUMPER'I'RUCKIYARDICHEM TOILETS <br /> E] TATTOO/BODY PEIRCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. 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 indicated above. <br /> 2. EHD will notify applicant an thea licant if EHD files exist. An appointment for review will be confirmed <br /> Y <br /> approximately five business days but no later than ten (10) days after receipt of application. The files <br /> f will be held for a maximum of five business days for review_ Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> i 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$87.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must beconfirmed with EHD staff. <br /> 6. 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 />