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Z0'd �d101 <br /> DATE IIEcEivra <br /> SAN JOAQUIN COUNTY EHD LCC NUMBER <br /> AUG 1 N 2'*003 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> l PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Of) G lV Q Ei BUSINESSIAGENCY <br /> ADDRESS 7 0 �iV'k-iV1t ST 4 Qtly Q�nm r�4 q �{7 <br /> PHONE_-707 —L7126 -111,161 FACSIMILE � 6 <br /> TENTATIVE'APPOINTMENT DATE Aka v1Q , acs O 3 TIME ' q <br /> (Pleaso give 7 to 1- briness da s from dato of appli"tlon submittal) <br /> CHECK BOX TO EXPEDITE REQUEST $89.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS ' ty r <br /> SIGNATURE OF APPLICANT DATE -�4 -0 <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> I-AZ /D i LO ✓ <br /> ,-"AK . .Z <br /> ML.- y�,� �` ., <br /> — � -E_�AL LCrirc ii r r � <br /> �_ 9_ r G't/�'ic�Y ' a►` <br /> ENVIRONMENTAL HEALTH DIVISION FILES. <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT la SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLIb WASTE VEHICLE <br /> UNDERGROUND TANK(MON rrORINGIREMOVAL) O DOG KENNEL 0 DAIRY <br /> fft•tdlf�q--. ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FAGIUTY O MOTELMOTI;L ❑ PUMPER TRUCK/YARDIGHEM TOILETS <br /> CD TATTOOIBODY PEIFICING ❑ PODUSPA o LAND USE APPUCATION SITES <br /> ❑ MEDICAL WASTE FACILITY CO 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 thin 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 /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> . . - - <br /> CQNFI�tME� PPOIN�MENT DATE ZIME <br /> ... - <br /> :DATE'GPHONE FAX:. -1NI'TIALS _ <br /> ltJuWEWED- _YES NO. . .:.. :REVIEVII-DA E; <br /> EMO <br /> SQfl2001 <br /> FOIE0'd 6b99 SE6 LOLT dI2iHWti9 LS:OZ �00Z-i?i-Jilt) <br />