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11/14/2002 08:18 7074528413 6 JEAN HUGHES AAVPE 01 <br /> it'i �� V �I) SAN JOAQUIN COUNTYPUBLiC HEALTH SERVI E <br /> : 7 7 ENVIRONMENTAL HEALTH DIVISION <br /> T WEBER AVENUE,THIRD FLOOR <br /> 304 EAST <br /> N O V 14 2002 STOCKTON CA 96202 <br /> (209)448-3420 <br /> f..NVIRvNMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> °Fick <br /> APPLICANT %USMiEs*1 Y <br /> ADDRESS r <br /> PHONE - �ACSIMILE " e t • <br /> TENTATIVE*APPOINTMENT DATEQ TWE <br /> (Pilau glvs 7 to 10 bual • &P from ate of apolcatlon submlttap <br /> FEE-Rt VEST P ESSECI IN 3 BUSINESS DAYS U 1 , <br /> CHECK BOX TO EXPEDITE REQUEST-09.00I <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS Tni IDE EHO sT F USE ONLY O <br /> PROGRAM ELEMENTS SEARCH <br /> N <br /> I M0 <br /> Vila <br /> -- <br /> r V 61VNMEjtreHUTH DIVISION FILES <br /> a SOUD wASTE FACILITY NOV 1 8 2002 <br /> NOER CLEANUP <br /> TANK(UST)CLEANUP SCT>f(LOP) O HFOOODDFACLITY ABATEMENT p BOUD,, AS-M VEHICLE <br /> ER CLEANUP 81TE(NON-LOP) p D04 KENNEL p DAIRY <br /> NOERGROUND TANK(MONITORINGIREMOVAI.) O 0*0CHIKtN RANCH O PKI TftfATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR !a MOTELlHOTEL p PUMPER TRUCKJYARDICHEM TOILETS <br /> TIERED PERMWMO FACILITY O POTELIH( ❑ LAND USE APPLICATION SITE$ <br /> O MEDICAL <br /> PURGING. ❑ PuBUC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> OLWA <br /> rJ MEDICAL WASTE FACILITY <br /> 1. List up to ten addresses in the space above. Select the type(%) of flies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax t (20 D 40-0133.or�SQ the <br /> address I_ icased above. <br /> 2, EMD will notify the applicant if any EHD flies exist. An appointment for review will be confirmed <br /> approximatelyfive business days but no later than ten(10)days after receipt sof hould tion. he files <br /> will be held for a maximum of five business days for review. Appointments <br /> ed <br /> accordingly. <br /> 3. A file that Is actively being worked on by EMD 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 /> S. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> S. 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 />