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Apr . 9. 2003 3:22PM CR EARTH TECHNOLOGIES • No.3359 P . 1/1 <br /> DATE REC49VW *W LOG NUMBER <br /> � SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> APR 0 9 2003 STOCKTON CA 95202 <br /> (209)468-3420 <br /> ENVIRONMENT HEALPBLIC RECORDS RELEASE AP'PLICXION <br /> APPLICANT1(wi rrw RNC BUS <br /> ion,iyo� 1 -77f 1v_aLo 4� <br /> ADDRESS,lg�, FAV_ wi✓st- oru.4,6, SL,(re I-- Saxoc44n ", Cq V11 � <br /> PHONE OSI$ _ .FACSIMiU 2.01 �J? . 0 S-3 is _ <br /> TENTAME-APPOwMFMT DATE 4 ( 9,� TIME A• O ��_ _��-��]_ �� � <br /> (Please give 7 to 1ofbusiness days from date of application subinntlal) J <br /> Q. CHECK BOX TO EXPEDITE REQUEST- .00 FFA--REQUEST PROCESSED IN 3 BUSINESS GAYS Qh <br /> +%Its 1y <br /> SIGNATURE OF APPLIC _ DATE _' 1 <br /> CRMO yam. ■pO1�YO -- ii[:�1�-li_"�� --�M <br /> FILE ADDRESS THIS$IDE WID STAF USE ONLY <br /> PROGRAM I LLEMENIa SEARCH . <br /> 3U3z S- GL t>0f,4V00 <br /> 310.,z -S. <br /> 3 Z Li <br /> Z l7 S U <br /> Z�co S. gra+A 7 _ <br /> Pa g —IEEE— <br /> 34 S.'E <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEME- <501=WASTE!""A41LITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SQIM WASTE VEHICLE <br /> !�UNDERGROUND TANK(MONITOWNCIREMOVAL) O DOG KENNEL 0 DAIRY' <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATiMEN17-PLANT <br /> f TIERED PERMrrrED FACILITY Q 1MO7ELMOTEL Q pUpjPi:;R TRUCj<ryARD/CH9M TOILEi:i <br /> ❑ TATTOOIBODY PEIRCING ❑ PODUSPA ❑ WID USEAPPLiCATION SWES <br /> ❑ MEDICAL WASTE FACILITY CI PUBLIC WATER SYSTEM 0 OTFIEfr(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the ILM, above by checking <br /> the appropriate box(es). At least one file type MUST be selected. fax t 208 464x13—Or mail to it- <br /> address Indicated abov_Q, <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will bo confirmed <br /> approximately five business clays 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 immedlataly 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 EHI7 :staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $8-1.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff, <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME T __ <br /> DATE CONFIRMED PHONE FAX -11`41T1ALS <br />