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0-2/11/03 TUE 14:29 FAX 925 4985 TREADWELL & ROLLO U001 <br /> FWD trCx;Numarm <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> FEB I 12003 ENVIRONMENTAL HEALTH-DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOk <br /> `; ! STOCKTON CA 95202 <br /> t.'V.� I I�� :'�'; :,i!;: " ;t :',' (209)463-3420 <br /> PUBLIC RECORDS RELEASS APPLICATION <br /> APPLICANT --r-r�..Awxji q-Roo <br /> BUSINESSIAGENCY_.�'�, , <br /> ADDRESS 7-1� _n,1-iAA0_ <br /> PHONE. FACSIMILE <br /> TENTATIVE*APPOINTMENT DAVE re_b Lo 10 6 TIME <br /> (Please give 7 to 10 businosr,days from data or application subinittat) • <br /> CHECK 00'X' TO EXPEDITE REQUEST 9.00 FEE—'REPUEST PROCESSED IN 3 BUSINESS DAYS <br /> i <br /> SIGNATURE OF APPLICANT DATE- 2, <br /> FILE ADDRESS THIS SIDE ENO STAFF USE ONLY <br /> PROGRAM EWAIENTS SEARCH <br /> 5-74 W Oct <br /> no T717 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 14 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> OTKER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 13 SOLID WA!-7E VEHICLE <br /> UNDERGROUND TANK(MONIroRINGIREMOVAL)- C3 DOG KENNEL 0 DAIRY <br /> HA4ARDOUS WASTE GENERATOR 0 CHICKEN RANCH . 0 PK0 TREATMENT PLANT <br /> TIERED PERMITTED FACILITY E3 MOTELIHOTEL M PUMPER TRUCKFYARD(tHEM TOILETS <br /> 0 TATTO010ODY PEIRC1140 0 POOLJSPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPr--CIFY ABOVE) <br /> 1. List up to ton addresses In the space above. Select the typg(s)of riles from the list above by Checking <br /> the appropriate box(es). At least one file type MUST ba selected. Fax to (209)4164-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant It any EHD riles exist, An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt or application. This riles <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. ? <br /> 3. A file that.1%actively bia-Ing worked on by EHO staff may not be immediately available•for review. A now <br /> application may be submitted when the file is available. <br /> 4. Any file not returned itl the same condition as released will he reorganized by EHD staff at the expense <br /> of the applicant. Future' rile reviews by tho same applicant may require a $89.00 deposit'prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EMD staff. <br /> .6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRM APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> LREVIEWED YES NO REVIEW DATE <br /> Tn 70H-i Uj-Rq'=j pRTtlhQb Th:PT 7VjV17./7.T/TT <br />