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Dec 013 04 02:37p Hanover Inc 530 . 42 <br />care�LL_ <br />'�„i `�'' � JOAQUIN COUNTYPUaI_ac HEALTH SER ES <br />\ ( ENVIRONMENTAL HEALTH DIVISION <br />\( DEC 8 2004 304 EAST WESER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />(209) 468-U20 <br />BLIC RECORDS RELEASE APPLICATION <br />APPLICANT _ IS1 n-& *B la <br />ADDRESS tQ'? Orxra«der- c <br />BUSIMESS/AGENCY „ <br />PHONE �+"T L ' FACSIMILE <br />. t <br />TENTATIVE" APPOINTMENT DATE t'�-� j° - TM <br />(Please give 7 to 10 MinWS days from date of application submtltai) <br />1490, p.2 <br />EF40 LOG MU[d6Eft <br />+VA <br />CHECK BOX TO EXPEWE REQUEST - $$1.00 FEE -REQUEST PROCESSED IN 3 SUS)NESS DAYS <br />�41SIGNATURE OF APPLICANT <br />��11. z j i?� 1 DATE 12 �/ o,(I <br />-10,+ P?'(,nn 0 rX S+., S-E'yG.14,0n , <br />{v2 0. An+gyros N l <br />> 2 �- t� • 1= i (►mac-ni- U5'i' �/ I <br />�•S?;^`� �. �=['c.n•,�n/k� �-,'•//. ��U��-QST t'2 <br />r <br />;.r.• E. qtr. •r•:�!:'. � i•} _ <br />� l <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />L�'J UNDERGROUND "TANK (U51') CLEANUP SITE (LOP) SOLID WASTE FACILITY <br />Q HOUSING ABATEMENT i7 <br />' 1A <br />/OTHER CLEANUP SITE (NON -LOP) M FOOD FACILITY 0 DAIRSOLIWASTE VEHICLE <br />C , UNDERGROUND TANK (MONETOPJNG/REMOVAL) o DOG KENNEL a Aii2Y <br />t�J HAZARDOL►S WASTE GENERATOR 0 CHICKEN RANCH Q PKG TREATMENT PLANT <br />0 TIERED PERMITTED? FACILITY G MOTEL/HOTEL ;7 PUMPER TRQCtSlYARI7/CHEM TOILETS <br />VVII <br />[? TAYTOO/t3ODY PElRClNG 0 POOL/SPA " ' CI LAND USE APPLICATION SUES <br />0 TAYTOOMEPICAWASTE FACILITY ' © PUBLIC WATER SYSTEM D OTHER (PLEASE SPECIFY ABOVE) <br />7. List up to ten addresses in the space above. Select the type(s) of files from the list above by checkin <br />the appropriate box(es). At least one file type MUST be selected. Fax to 9 aid -0138 r ail o the <br />t <br />;addr�ss indicated �bov.e. <br />2. RHD will notify the applicant if any EHD files exist. An appointment far review will be confirmed <br />approximately five business days but no later than ten (10) days after receipt of application. The files <br />wil� be held for a maximum of five business days for review. Appointments should be scheduled <br />accordingly. <br />3. A fik that is actively being worked on by END staff may not be immediately available for review. A new <br />appli"tion may be submitted when the file is available. <br />d. Any flirt 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. *TENTA i0VE appointment dates must be confirmed with EHD staff. <br />i3. Applicat lops received after 3.00 pm will be processed the next business day. <br />CONFIRMED APPOIOTMENT GATE TIME <br />DATE CONFIRMED PHONE FAX . INITIALS <br />REVIEWED YES NO REVIEW DATE <br />W 00'14 0=7190 <br />.TOTRL P.01 <br />