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FROM Geo—Phase Env i rorunenta l-Inc. FAX ND. : 2095690295 Dec. 24 <br /> 2002 12:03r M f'2 <br /> �Cf.— <br /> r�l AN JOAQU[N COUNTYPUBI..IC HEALTI-f SERVICES ftly <br /> ENVIRONMENTAL HEALTH DIVISION D <br /> 304 EAST WE13ER AVENUE,THIRD FLOOR <br /> 0 <br /> D E C 2 4 2002 STOCKTON CA 95202 i . <br /> (209)4658-3420 �} <br /> ,�r,,LipUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Sit l_ e BUSINESSIAGRNCY ♦/"��Se� 4/ <br /> ADDRESS993 � / ♦�� �� <br /> PHONE FACSIMILE �� <br /> I' g <br /> TENTATIVE"APPOINTMENT DATL" 3 s�� �i TIME it f r <br /> (Please give 7 Lo 10 Susincs slays from date of application subutlkkal) <br /> Li <br /> CHECK BOX TO,EXPEDITE RCQUCST-$87.00 FCE—RrQUEST PROCESSED IN 3 iWSINESS DAYS <br /> SIGNATURE OF APPLICANT i dA'Ck J/Y z Z <br /> 1 Ik <br /> THIS SIDE EHD STAFF U5 <br /> FILE ADDRESS L <br /> I f PIi.OGiiAM W,CM>:NT5 S 44 <br /> Al <br /> f 7 S. S ea r <br /> t2.X 2. 4,4 ,S G "O r• <br /> 30WVrr- <br /> k_ <br /> s I� <br /> S <br /> I Il r <br /> 7 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ZNDL-RGROUND TANK LUST]CLEANUP SITE(LOP) 0 HOUSING ABATCMiNT SOCIO WAST~FACILITY <br /> . OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY O SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONfTORINGIRCMOVAL) 0 DOG KENNEL it 0 DAIRY <br /> O HAZARDOUS WASJVLE GENERATOR 0 CHICKEN RANCH I'I ❑ PKG TREATMENT PLANT <br /> u TIERED PERMITT� FACILITY 0 MOTELIIIOYIO PUMPER TItUCK1YARDlCHEMTOtLETS <br /> TATTOOIBODY PIJIRCiNG Q POOLI5PA O LAND USE APPLICATION SITES <br /> C7 MFDICAL WAST9 FACILITY 0 PUBLIC WATCR SYSTEwM"I to OTHER(PLCASL SPECIFY ABOVE) <br /> 1. List up to ten addresses intiui space above. Select the typd(s) of files from the list above by chocking <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. Ii <br /> 2. EHD will notify the applicant if any EHD files exist. An appointmont for review will be confirmed <br /> approximately five busincs`s days but no later than ten(10)hays after receipt of application.-The files <br /> will be held for a maximum of five business days for rovicwi Appp'intments should be scheduled <br /> k accordingly. <br /> 3. A file that IS actively being worked on by EMD staff may not be lmrnediatQly available for review. A stew <br /> application may bo submitted when the file Is available. }a <br /> 4. An fiEC nat returned in the same condition as released will be reor anized b EMU staff at the cx ensu <br /> I of he applicant. Future fiic reviews by the same applicant may re'ulry a$87.00 deposit prior tv review. <br /> 5. 'TENTATIVE appointment dates.must be k;onfirmed with EHD staff: <br /> 6. Applications receiVied after 3:00 pfn wi11 be processed the next business day. <br /> !i CONFIRMED APPOINTMENT DATE _ TIME ; <br /> DATE CONFIRMED � � PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW nATE,• <br />