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• N t <br /> 09/03/02 07:35 FAX, T E.R.I. Q001- _._�,..... SA� ENVIP.ONMEM - LTH PAGE 01 <br /> SA JOAQUIN"COUN�T�.YPUBLIC HEALTH SERVICES E'IIaI,oCNUTAFN <br /> ENVIRONMENTAL I' E ALTI-I DIVISION 1 <br /> OWN <br /> 304 EAST WEBER AVENUE,THIRD FLOOR � <br /> STOCKTON CA 95202APWZ W/ <br /> )468-3420 <br /> PUBLIC RECORDS 9RELEASE APPLICATI <br /> APPLICANT <br /> BUSINESSIAGENCY <br /> ADDRESS nc. <br /> o <br /> PHONE 4/1, WDD <br /> FACSIMILE <br /> TENTATNE APPOINTMENT DATE _I TIME $E P 0 3 2002 <br /> (Pleaso 91ya 7 to 10 burin days f data of a Ilcallon;ubmltta() <br /> CHECK BOX TO EXPEDITE REQUES /S81JOU-IRREEST P ENVIRONMENT ERMI /SERVICESTH <br /> , 1 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE -1U Q 2- <br /> THIS <br /> THIS SIDE EHD STAFF US@ ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> �1 v !320Z W <br /> O <br /> VIM <br /> U U211 <br /> UP <br /> IR 94 <br /> CE - <br /> pE <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> >WNDERGROUND TANK(UST)CLEANUP SITE(Lop) 4 HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> 59-OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> 'IJNDERGRCUND TANK(MONITORING/REMOVAL) G] DOG KENNEL- O DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR L7 CHICKEN RANCH ❑ PKG TREAYMI_NT PLANT <br /> ® TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARD/CHEM TOFLETS <br /> ❑ TATTOOIBODY PEIRCING ❑ POOLISPA CI LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q PUBLIC WATER SYSTEM Q OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresseis 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 20964m <br /> 40138 or ail to the <br /> re <br /> addss indicated abo4k. , <br /> 2. END will notify the applicant if any'eHD files exist. An appointment for review will be confirmed <br /> approximately five busMess days but no later than ten(1 D)days after receipt of application. The files <br /> will be held for a maxinitim of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively berg worked on by EHD staff may not be immediately available for review. A new <br /> application may be sul�hnitted when the file is avaFlablEa, <br /> 4. Any file not returned irV the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. FutuPe file reviews by the same applicant may require a$89,00 deposit prior to review. <br /> 5. 'TENTATIVE appolntrtient dates must be confirmed with 2HD 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 />