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FROM Geo Phase Envlrcn ental Inc. FAX NO. : 2095690295 Dec. 24 2002 12:03PM P2 <br /> l�SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES r c <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR v (� <br /> DEC 2 4 2002 STOCKTON CA 85202 <br /> (200) 468-3420 <br /> rNVIR( i;i"; . s PL(pUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTfie,/I,&,N44r� Q BUSINESSIAGLNCY /0`044Se 1t <br /> ADDRESS A937 lf/e -ye-nq+f Poi0 ;&W- -r-7v�`✓-r-7vPHONE 6y/ •a�9� FACSIMILE 7 pg9fR!p <br /> 5 <br /> TENTATIVE'APPOINTMENT DATE /I-A/ /d1%, TIME <br /> (Please Hive 7 to 10 busines days Irons date of application submittal) <br /> IN CHECK BOX TO,EXPEDITE REQUEST-$07.00 FEE-RCQU EST PROCESSED IN a DUSINE55 DAYS <br /> SIGNATURE OF APPLICAN'r �' DATE <br /> FILE ADDRESS THIS SIDE END STAFF U5 (JG <br /> PROGRAM CLEMCNYS S <br /> 2u <br /> W. I ser S 8 r G <br /> TaoAl. e ' ---SJG Zk <br /> 5 ? W.&A" L �/ .01414 <br /> (,j LAO!79- `2412 - kdma Lad/ - r-oWi(edIV41 <br /> S_ <br /> t <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 'e,NOCRGROUND TANK(U5T)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTEFACILITY <br /> . OTHER CLEANUP SITE(NON-LOP) D FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR O CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> u TIERED PERMITTft FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOOIBODY PBIRCING ❑ POOUSPA ❑ LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY ❑ PUBLIC WATL•R SYSTEM ❑ OTHCR(PLEASE SPECIFY ABOVE) <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 fora 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 conditlon 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 /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> S. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> I • <br /> i DATE CONFIRMED PHONE FAX INITIALS <br /> I <br /> REVIEWED ; YES NO REVIEW DATF• . <br />