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Geo-Phase Environmental I� _ FAX NO. : 2095690295 <br /> :-0? 2003 09:3.IA11 P <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> r'i f[.=.il• � '��i�'r� �� ��� ENVIRdNMENTAL HEALTH DIVISION <br /> 304 EAST WESER AVENUE,THIRD FLOOR <br /> ,JUN 0 2 2003 STOCKTON CA 95202 <br /> (209)438-3420 <br /> �u PUBLIC RECORDS RELEASE APPLICATION <br /> Y.iLI!L.L1��r,Iy..-...; <br /> PERMIT�SERVICES <br /> APPLICANT e �Q.* rr dY'G� DliSl [ '� 04 , _ <br /> _ _ NCSSIAC ENCY 4/ @ <br /> 10 S <br /> PHONE-. �j '�_��3 _.. FACSIMILC« <br /> TENTATIVE"APPOINTMZNT DATE: ---S.� TIME <br /> (Please give 7 to 10 buziness axy::from dale o[aypYicalivn yubmillal)�- <br /> . , <br /> LAnIf <br /> Ok-CHECK BOX TO,GXPCDITC RCQUl:.ST-$I37.a0 FEE-REQUEST I'ROCES5ED IN 3¢USINC55 DA'l8 <br /> a <br /> SIGNATOR!` OFI�PPLICANT [iAT4; � <br /> T^ <br /> FILE ADDRESS TRIS SIDE E}IC)SY:,FFF V1vL DULY w_ <br /> PROGRAi4 11DAI-NT5 sLARCH <br /> >'^ _ <br /> Y+l�!'Y �D�� CST• <br /> / Tb/ 12 15 <br /> 7T ' --- -- <br /> of <br /> WN <br /> h <br /> 3 <br /> i <br /> ENVIRONMENTAL HEALTH D1VI5ION FILES <br /> X."DGRGROUND TANK(IJ,-,T)CLEANUP SITE JLOP) ❑ H0USINf3.AI3ATCMENT ❑ 5OLID WA5TE F;%CILITY <br /> ``0�-.THEK CLEANUP SITE(NON-LOP) FOOD FACfLITY M 50110 WAS Tt:VI.OGLE <br /> i1NDERGROUNDTANK(MONITORINGIIZEMOVAL) El DUGKtNNEL,. 0 DAIRY <br /> p HA7ARDOUS WASIC GENERATOR 0 CHICKEY RANCH 0 PKC TREA MEAIT PLANT <br /> G TICRED PERMIT-NO FACILITY M MOTEL1,i10•EL ❑ PUMPER I I MKIYARrvcHEM TOILETS <br /> 0 TATTOOIBODY PSIRCING d PdOUS",A 0 LAtio USE-pPF LJ. A.TION 51•:x25 <br /> ❑ mr-DiCAL WASTE FACILITY C] PUBLIC WATER SYSTEM 0 OTHER(PI.::ASE SPECIFY ACIOVL) <br /> i. List up to ten addresses in the space 4bove. Select the types) of files;`roan thll li:;t zlrove by chackin!) <br /> the appropriate box(es). At least one file typf: MUST be selected. Fax t;!Q09,464-0138 or m.iil to thr, <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files )xist An appointment for review will ba confirmed <br /> approximately five business days but no late;•than ten(10) days after receipt c,f application.-The files <br /> will be hold for a maximum of five business days for review. Appointm,:nl.s 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. knew <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition a:: released will be rcorgani;tud by EHE?i:taff at the cxpormo <br /> of the applicant. Futuro file reviews by the sz,ma applicant.may require a a87.t 0 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be con`kii ed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> r <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE= CONFIRMED FHONE FAX 'INITIALS <br /> •.i. 111 <br /> REVIEWED) YF_5 NO REV15W DATF � <br />