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\Jun 03 03 02: 01p Barbara Moed (510) c136 .0222 p. 1 <br /> JUN 0 3 2003 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> i'di IEPJT HEALTH 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 13 <br /> -L i�{ i 7 E R V{C E 5 (-209)468-3420 <br /> PUBLIC RECORDIS RELEASE APPLICATION <br /> APPLICANT �50 � � OUS1N"SIAGENCY Tb'e r1Nf�dMIL• r•,lh�(e��C �.► , <br /> ADDRESS �c2re �ltnwoc� Aue. Oakla i�C' <br /> r {Q <br /> PHONE 7 10 3 3 4 b A¢��1 FACSM IILE 7/0 <br /> TENTATIVE'APPOINTMENT DATE � 3 7C �~ �� TIME <br /> (Please give 7 to 10 6usincts days from date of application sub 1111141) <br /> • <br /> El <br /> O <br /> CHECK SOX T sxPEorrE REOU Sa9.00 FEE-• CK ZEST PROCESSED IN 3 BUSINESS AAVs <br /> SIGNATURE OF APPLICANT DATE <br /> t <br /> JC) THIS SINE I;HO:11 TAA=USE ONLY <br /> FILE ADDRESS PROGRAM LLEI TENTS 3FARCH <br /> 5 I ..,.._.._. <br /> a ' <br /> '� c► T. yr ks 1�cth , r �� _- <br /> vv1 fi ce ce►. N d INIr c _,�..��� 2�103 <br /> U3 <br /> ENVIRONMENTAL HEALTH DIVISION FILES JUN 16 2003 <br /> M UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13*001ISING ABATEMENT 0 5OU10 Wil ITE F:AI:ILiTf <br /> D OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY Q 501-10 WJE ITC YO.O.'Ll: <br /> al UNDERGROUND TANK(MONITORJNGIREMOVAL) 0 D0i;K15NNEL 0 DJUAY <br /> 0 HAZARDOUS WASTE GENERATOR 17 CHICKEN RANCH Q PKG TREA IWFUT PLNIT <br /> O TIERED PERMITTED FACq_rry 0 rAOTWHOTEL 17 PUMPER'1FiVGIC11'ARQCMEIM TOILETS <br /> O TATTOO/BOGY PEIRCING 17 PO XISPA 13 LJWI)USE APPLK A.TION SITES <br /> O MEDICAL WASTE FACILITY la OTHER(PLEASE SPECIFY)_ _— - <br /> 1. List up to ten addresses in the space.above. Select the type(s)of files from 0*list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax Io(209 4Gd-0138 or mail to the <br /> address Ind•csted above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for raviea will be Confirmed <br /> approximately five business days but no Tater than ten(10)days after recsipt F,if pppl(cation. The films <br /> will be held for a maximum of five busine:;s days for review. Appointments si IDuld be scheduled <br /> accordingly, <br /> 3. A file that is actively being worked on byEND staff may not be inlmediabgy avallabiro for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not retumed in the same condition as released will be reargarl ImA by iEHO stmff at the.expense <br /> of the applicant. Future file reviews by the same applicant may requim.a$89r)D deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be i:onfirmad with EHD staff. <br /> 6. Applications received after 3:00 pm will b:processed the next bLISine:is :lay. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INnmu <br /> REVIEWED YES NO REVIEW DATE <br /> 6110".634" <br /> U2W"U <br /> TO 39Vd 1-11-V31-1 -IVIN3WN0i9IAN I BE19D9D 6E:I�T. !A©Z!cAJ90 <br />