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FROM : NOA Environmental PHONE= NO. : 209 369 4228 Dec. 05 2002 10:04P' <br /> DATE RECEIVED <br /> Exfl <br /> �j r�SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES <br /> I�.�, ENVIRONMENTAL HALTH DIVISION <br /> 304 EAST WESER.AVENUE,THIRD FLOOR. L <br /> DEC 0 S 2002 STOCKTON CA 95202 <br /> (209)468.3420 <br /> F-WRONMENT HFALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT ' G oL.3 P <br /> BU5INESSlAGEN1Y � <br /> ADDRESS2Z ll�- G a�.�e �a .` 95 0 <br /> PHQNE 0 J FACSIMILE ��9 T 7i4Zor Z �` <br /> TENTATIVE`APPOINTMENT DATE TIME -O:00 EW., �, J <br /> (Please give 7 to 10 business days from date of application submittal) I TT; fi r <br /> CHECK BOX TO EXPEDITE REQUEST-389.00 FEE-RgfWEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE I Q h Z. <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> PROGRAM EILEMENTS SEARCH <br /> 2-tp4tE h <br /> ice 4 <br /> se � s y wo pQ.r,�.,.rri•-s . <br /> ENVIRONMENTAL HEALTH 171V15[ON JI(UNDERGROUND TANK(UST)CLEANUP SITE(LOP) CI HOUSING ABATEMENT 9L.SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) D FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> Ir UNDERGROUND TANK(IYIONITORINGIREMOVAL.) In DOG KENNEL 0 DAIRY <br /> W HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PXG TREATMENT PLANT - <br /> ❑ TIERED PERMITTED FACILITY CJ MOTEUMOTEL 0 PUMPER TRUCKIYARDlCHEM TOILETS <br /> 0 TATT0018ODY PEIRCING 0 POOLJSPA 0 LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY � 0 PUBLIC WATER SYSTEM W OTHER(PLEASE SPECIFY ABOVE) <br /> 1. <br /> List <br /> up to ten addresses in the space above. Sele t 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 END files exist. An appointment for review will be confirmed <br /> approximately flve'business days but no later than ten(10)days after receipt of application. Tha files <br /> will be heli for a maximum of five business days liar 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 releksed will be reorganized by EHD staff at the expense <br /> of the appllcant. 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 END staff. <br /> .6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATIS. TIME <br /> DATE CONFIRMED PHON� FAX INITIALS <br /> REVIEWED YES NO REVIEW VATS <br />