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OCT-17-2002 14:53 SHAW E AND I SAN JOSE 408 437 9526 P.02i02 <br /> VAThUU IVEO llm`*GNu cn <br /> "A41bAQUIN COUTYPUBLIC HEALD VICES ,lob _ <br /> ENVIRONMENTAL HEALTH DIVISION <br /> v 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTgN CA 95202 <br /> (209)ase-3420 OCT 17 2002 <br /> PUBLIC RECORDS RELEASE APPLICATION , _ P1,61 TW <br /> APPLICANT jowy <br /> -- <br /> 1! d Gt BU5INESS/AGENCY .�H 4L s..o f':N✓e I"O�'I»'L rl ct L �� <br /> ADariess at4 , %s%31 <br /> PHONE Vo r— 3SO-S e 2? FAC`SIMitx Y— 22 !.3 2— YX:2Z <br /> TENTATIVE*APPOINTMENT DATE® Q l b` 31 TIME <br /> (Plea"®Iv®T to 1 b Irons of application submittal) ' <br /> CHECK Box TO EXPEDITE REQUEST•S59.00 FEE—RE ED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SLOE HD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> Sb (A- GG B ..5 <br /> \ V .20)? r—6 u• <br /> 2. <br /> r <br /> Z e� S <br /> S G <br /> v jq0.311 <br /> C, UMAQ <br /> - <br /> �i <br /> 2002 <br /> ENVIRONMENTAL HEALTH DIVISION FILES . <br /> IN UNDERGROUND TANK(UST)CLEANUP srM(LOP) O HOUSING ABATEMENT D SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FAC1t.TfY D SOLID WASTE VEHICLA <br /> UNDERGROUND TANK(MONITORINGIR AL) M 006 KENNEL 0 DAIRY <br /> HAZARDOUS WASTE ecNERATOR O CHICKEN RANCH D PKI;"M yATMENT PLANT <br /> O 7IEREU PERMITTED FACILITY f0 M OTEL D PUMPER TRUCKIYARDICHIM TOILETS <br /> 4 TArfOOISODY PEIRGING D POOLISPA A LAND USE APPLICATION SrTI S <br /> © mEOICAL WASTE FACILITY D PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses In the spac0 above. Select the types)of tiles from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464.0 38 o mall to the <br /> r address Indicated above. <br /> 2. EHO will notify the applicant If anyEHD 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 file.that is actively biting worked on by EHD staff may not be immediately available far review. Anew <br /> application may be submitted when the file is available.. <br /> 4. Any filemot returnad In the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future fele reviews by th6 same applicant may require a$89.00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHO 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 /> REVIEWED YES NO REVIEW DATE " <br /> •A <br /> TOTAL P.02 <br />