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`OCT-17-2002 14:53 SHAW E AND I SAN JOSE 408 437 9526 P.02i02 <br /> ontluo:VIVED �av`e��uMer� <br /> SAI&MAQUIN COUNTYPUBLIC HEAL VICESIda <br /> ENVIRONMENTAL HEALTH DIVISIONCM <br /> �7 <br /> AFAL <br /> v 304 EAST WESER AVENUE,THIRD FLOOR <br /> STOC)CTQN CA$5202 <br /> on (209)46111-3420 OCT 17 2002 <br /> #Ole V it�dw PUBLIC RECORDS RELEASE APPLICATION <br /> LN <br /> APPLICANT�O��/' �y; a' HOStNESSIAGENC1f SA a k/ <br /> ADdRESS SaH <br /> PHONE !Zmt- -�®"—S6'77 FA IMt1.E !L0-, !!Z:3 2" <br /> TENTATIVE*APPOINTMENT DATE-1 0.2 /()/131 J, TIME <br /> (Please,®ev®7 toi2bk <br /> Sloss from of Oppllcatlon submittal) . <br /> CHECK BOX TO EXPEDITE REQUEST•S09.00 PEE•-RE ED IN,BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE SLS / t9 2 " <br /> FILE ADDRESS THIS SIDE kH0 STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH 72 <br /> nrT <br /> �v t q03 G <br /> 1 S11ru all <br /> -4 2002 <br /> ENVIRONMENTAL HEALTH DIVISION FILES . <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING A13AYEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP 317E(NON-LOP) 0 FOOD PAQ1dTY a SOLID WASTE VEHtCLIk <br /> UNDERGROUND TANK(MONITORINGIRENOWIL.) 0 DOG KENNf t. 0 DAIRY <br /> HAZARDOUS WASTE QEHERATOR 0 CHIcIMN RANCH 13 PKG TREATMIENT PLANT <br /> O TIERER PERMITTED FACILITY 0 MOTELIHOTEL [3 PUMPER TRUCKjYARp/ MM TOILETS <br /> 0 TATTOO/BODY PEIRGING 0 POOIAPA 0 LAND Use APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 0 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 o L20914,6"11-33 or matt tv 1he <br /> r address Indicated above. <br /> 2. EHO will notify the applicant If any END 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 fora maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file.that is actively biaing worked on by END staff may not be immediately available for revlew. An <br /> application may be submitted when the file is available.. <br /> 4. Any file mot returned In the same condition as released will be reorganized by END staff at the expense <br /> of the applicant. Future file reviewsby the same applicant may require a$89.00 deposit prior to review. <br /> 5. TENTATIVE appointmant dates must be confirmed with END staff. <br /> 6. Applications received after 3.00 prn will be processad the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE w• <br /> TOTAL P.02 <br />