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AOL <br />03/04/2003 10:58 464013 E=NVIROMENTAL WJW PAGE 01 <br />k -,j iJSAN JOAQUIN COUNTYPURLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />w 304 EAST WEEDER AVENUE; THIRD FLOOR <br />MAR. Q 4 C �(� STOCKTON CA 95202 <br />(209) 468-3420 <br />PUBLIC RECORDS RELEASE APPLICAT10k <br />via VK ►w)'Rhm <br />ih <br />ApPAir t ,t,•�'�-i��-�rSC� BUSIE'1�5SIAG[Nc!�G Ii1'� !; /U <br />UC j/ <br />ADOREss 31000 t±,!J611 qty f SG1� t!L15' /1 ee/ <br />Pi4oxe ij&)3.3 ay7? FAG$mQtLE 9/!a ), 9_0_1W <br />_ <br />e <br />Ir' <br />TENTATIVW APP <br />0NTMENT'bA'riw 1.._. 14-�i�,�'r ,, E"� TIME � P� • <br />(Plaasa give 7 to 7b bwtness days from dale of applica(lon submillat) <br />jr <br />CHECK BOX TO EXPEDITE RCq T-509.00 FEE -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />`"SIGNATURE OF APPLICANT DAT <br />ENVIRONMENTAL <br />• <br />.. ,� I• �� <br />ENV <br />� ,i ��,�I���../� rte, <br />�'��� <br />, <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />UNDSRGROOND LANK (UST) CL,I=ANVP SITE (t_QP) a mousING ABATEMENT 0 SOLID WAS -- FACILITY <br />OTHER CLEANUP WYE (NON -LOP) FOOD FACILITY iS sOUDYVwi vEmict.E <br />UNIpERGROUND TANK (MOxR'ORiNGIREMOVAL) DOG KENNEL 13 DAIRY <br />HAZARDOUS WASTE GEfE MRATOR 0 CHICKEN RANCH 0 PKG TREATMI NT PLANT <br />Q TIERED PER'MiTTED FAmn"X D MOTEUHOTEL M PUMPERTR0_RNAR0/CHEM YOiL.E?3 . <br />d 7ATYOOd4013Y PCIRCiNG 0 POOLISPA YLOA1Yrt USE APPLICATION SITE --$C MEDICAL WASTE VACiLITY � E7 OTHER (PLE/1:i1? SPECIFY Ax3OV0 <br />1. List up to ton addresses In the space above. Select the type(*) of tilos from the list above by chocking <br />the appropriate box(es). At least one file typo MUST be solo ctod. Fax to (209) 413.4,0138 or -mail to the <br />r �• address ind'ocated above. I I <br />2- EH© will notify the applicant if any EHD tiles exist, An appointment for review iAill be confirmed <br />approximately five business days but no later than tort -(10) days after receipt of application. The files <br />will be held for a maximum of five business days for ravlew. Appointments sho►jid bo scheduled <br />accordingly. <br />3. A file that,ls :actively bring worked on by EHD staff may not -be Immediately aVai.l,Ibte for review. Anew <br />application may be submitted when the file is avalllabio. <br />.4. Any rile not returned in the same condition as released will bit reorganIZI d 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 elates must'be eonfirti'Iad with EHO staff.. . <br />G. AppitGtioros receives atter 3A0 pm wilt be processed the next busine,s slay. RUSH <br />CONFIRM FD APPo1NTMENT DATE.. TIME <br />DATE CONFIRMED . <br />RI VIEWED YES NO <br />PHONE FAX INiTIALS <br />REVIEW DATE �'' <br />