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............... <br /> SAN JOAQUIN COUNTY <br /> EN' <br /> '61ONMENTAL HEALTH DEPARTN;--1T <br /> tim-1EAST WEBER AVENUE, THIRD FL06*- <br /> JUN 2 6 2003 STOCKTON CA 952b2 <br /> (209) 468-3420 <br /> , 'i_ALIfIPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT <br /> BUSINESSIAGENCY <br /> ADDRESS t��414v COL <br /> PHONE- 150 X _FAC,,M,LE-2-01 :E�7 ,r­_ -/o -2— <br /> TENTATIVE`APPOINTMENT DATE <br /> TIME _7-Td­ <br /> 7r1 5� <br /> (Please give 7 to 10 business days from date of application submittal) vv <br /> CHECK BOX TO EXPEDITE REQUEST'-= <br /> 119—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 1 vJ t;,.:-,5 r 4,-t - <br /> _yj <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 6H_MDERdROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 13 SOLID WASTE FACILITY <br /> 1THER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY <br /> 13 SOLID WASTE VEHICLE <br /> L7 UNDERGROUND TANK(MONITORINGIRE M OVAL) 0 DOG KENNEL 0 DAIRY <br /> 0--HAZARDOUS WASTE GENERATOR 11 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 171 MOTEL/HOTEL 0 PUMPER TRUCKNARDICHEM TOILETS <br /> M TATTOOIBODY PEIRCING .101 _P�OOIJSPA ' CI LAND USP�APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY P-OTHER(PLEASE SPECIFY) a., -44 <br /> 1. List up'to ton 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 to (209) 464-0138 or mail to the <br /> address indicated 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 <br /> 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$89.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> .j <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> Elit)48-02-006 <br /> 312GI2003 <br />