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Jul -30. 2002 3:42PM 0""'DOR EARTH TECHNOLOGIES Na•0fi49 P- 1/1 <br /> VATE RECEIVED <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVIC _ 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR JUL 3 0 2002 <br /> STOCKTON CA 95202 <br /> (los)468,s20 ENVIRONMENT HEALTH <br /> PUBLIC RECORDS RELEASE APPLICATION PERMIT/SERVICES <br /> ' Gffi4Ey auslNEswACENCY �Noo� �7t* �+`�tF►�ti-nc�1 S,x+JC. <br /> APPLICANT YI j 9�!�77� --- -- <br /> ADDRESS t� WCS-r CLE 5ti176 = . <br /> PHONE aaq^2 �f�csS7B FACSIMILE �c�•Lr2;�{�538 <br /> TENTATIVE"APPOMMEN1 GATE &0 u Tll z o a TIME `1 <br /> (Please give 7 to 10 business days from da�appll tion submittat) <br /> L/4#6 .Z <br /> . CHECK BOX TO EXPEDITE REQUEST-$87.011 w REQUEST PROCESSED iI�3 S NESS DAYS <br /> 13 <br /> SIGNATURE OF APPIr.1CANT HATEo 16'7• <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGR"E-1 ENTS SEARCH <br /> Vp.1E weer- L-0I> e / <br /> MC Lo I of <br /> 1.3 1 6 . o Y LAD I <br /> 3 S S•5 I't�K7pN� [.oD No0 a2v►�-G� <br /> 2,3%-e-14.6 -RY 1-4N&I L.n 01 A) O i.HEALTH DIVISION FILES <br /> CK-UNDERGROUND TANK(UST}CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT Q SOLID WASTE SOLID WASTE FACIGLI` <br /> g oTmER Ct.EANUP SITE(NON-LOP) ❑ FOOD FACILITY <br /> UNDERGROUND TANK(MONITOR1NGMEMOVAL) 0 DOG KENNEL Q DAIRY <br /> HAZARDOUS WASTE GENERATOR Q CHICKEN RANCH E3 PKG TREATMENT PLANT <br /> ❑ TIERED PER1dr MD FACILITY Q MOTEL+HOTF_l-. 4 PUMPER TRLICKIYARDICHEM TOILETS <br /> Q TATTOOIBODY PEIRCING Q P60USPA ❑ LAND USE APPLICATION WES <br /> MEDICAL WASTE FACILITY ❑ PUSLJC WATER SYSTOM ❑ 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. Eax to 209 4 4-0138 ar mail to e <br /> goorgss int! c teed above. <br /> 2. EHD will notify the applicant if any EHD 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 being worked on by EHD staff may,not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same Condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant May require a $87.00 deposit prior to.review. <br /> S. "TENTATIVE appointment dates mint be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> i CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX •INITIAL S <br /> �s <br />