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07/11/2003 13:47 2094671118 AGE STOCKTON PAGE 01/01 <br /> DATE RECEIVEp I[ EHO LOG <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Jul_ 1 1 L003 304 EAST WEBER AVENUE,THIRD FLOOR V" <br /> STOCKTON CA 95202 <br /> ` 3f A 4200 <br /> (209)4688-3 <br /> CC <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT _ A) BBUSINESSIAGENCY <br /> n02s fooADDRESS <br /> PHONE jaQj +�Wl` /Q FACSIMILE 9L.l-�u`a <br /> Y� � �3E8 CCIUJN�}1JVI�'tLt�r lr <br /> le 9 <br /> TENTATIVE*APPOINTMENT DATE ju JoIJ4 TIME :�D <br /> (Please give 7 to 10 businassf days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQU 589.00 FEE-REQ ST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> n0-r-0- <br /> � �Al/1] PROGRAM ELEMENTS SEARCH <br /> -i3j C1 • 1 G M/D <br /> �J 1 S 0 <br /> J V J-01? .. W <br /> 0. <br /> V <br /> I r\ 7-s <br /> w r� <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ POOL/SPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY} <br /> 1. List up to ten 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 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 /> S. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> END 48-02-U96 <br /> 3/26/2003 <br />