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Jul 22 04 09: 39a KRIFN & ASSOCIATES 9164 2222 p. 2 <br /> 02/06/2004 12:12 4640138 ""'+n"""'�"'^� "' <br /> r-DAX-9 KSAN JOAQUIN COUNTY <br /> N v ENVIRONMENTAL HEALTH DEPARTMENT I <br /> 304 E Weber Ave 3''Floor Stockton,CAA 95205 95205 <br /> J,&2M a"9)468-3420 Fax= (209)464-0138 Web:www-eO.san-joaquin.ca.us/ehd <br /> `E KH3atV PUBLIC RECORDS RELEASE APPLICATION <br /> iLL V/ BUSINESSIAGENCY: .9i/ ./f SSS C�./�i-t= <br /> Eo <br /> PLICANT: 4101 6� -5 <br /> NLDREv� 2 d FACSIMILE:NE: <br /> TENTATIVE'APPOINTMENT DATE: <br /> \lq'/ (Please allow 10 bMIM01A deye from date of appReallo ubm <br /> K�.CNELK°Ox TO FXPEDTTE,REQUEST- FEE-REQUEST PROCESSED IN a BUSINESS / <br /> / \ DATE 0' <br /> •SIGNATURE OF APPLICANT �_ Deparlmenl use Only <br /> UNIT <br /> FILE ADDRESS ,� r <br /> ort u �'dC/'C d ✓� 1 Z 7 3 <br /> x )2 <br /> ase �y� 0 GA 5 3 <br /> �. seen %E LCJ <br /> Unit 3 <br /> e. �IM rj <br /> e. 9en ❑ Unit 5 - <br /> 9 <br /> ENVMONMENTAL HEALTH DEPARTMENT FILES <br /> ❑ HOUSING ADATEMENT /�+�SOLID wASTE FACILITY <br /> TANK NSTI CLEANUP SITE ILC% D FOOD FACILITY SOLID WASTE VEHICLE <br /> OTHER CLEANUPsnE(NON.LOP) 0 D KENNEL 0 DAIRY <br /> UNDERGROUND TANK(MONITORING7REMDVN-) 0 KENRANCH 13 PKGpEFATUCK PLANT <br /> Vc,,MDcRGROuND <br /> HAZARDOUSWASTEGENERATOR 0 UNOTEL ❑ PUMP ERTRUCKICATION SITES LETS <br /> �rneREDPERMrrrEDFACILRY 0Pp ❑ LAND USE APPLICATION SRE9TATTOOISODY PIERCINGtl THE (PLI.ALS MEWCALWAST'E FACILITY <br /> above, ct the type(s)of files from the list above by checking <br /> �. List up to ton addresses in the spa o ST be selected. F x to l2_ 09�T38 Dr mail t fls <br /> the appropriate bOX(oE). At least a file t)IP <br /> ddress indicated above. files exist An appointment for review will be confirmed <br /> 2• EHD will notify the applic If° ut later than ten(10)days after retafpt of application. The files <br /> ap ately five Inc ointments should be scheduled <br /> w bati d for a ma um vo s ass days for review. APP <br /> a rdin Y. orked on by EHD staff may not be immediately available for review. A new <br /> 3' athat s actively ) <br /> Pp ti be s m ad when the Tile Is available. F�fp stall at the expense <br /> 4 �y I re d the same condition as releasedwant may require a$93.00 deposit prior to review. <br /> of the Ileant. ra file reviews by the same app <br /> s_ "rENTA VE appointment dates mustbwilleb b processed the n Ded with FH t business day. <br /> 6 Applieati s received atter 3:00 p <br /> TIME <br /> CONFIRMED APPOINTMENT DATE PHONE . FAX <br /> INITIALS <br /> DATE CONFIRMED REVIEW DATE <br /> REVIEWED <br /> YES NO <br /> IW161 <br /> urnmx <br />