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05/14/2003 10:61 . 209-579-22P4) MODESTO ATC PAGE al <br /> calm ecceNW rr+o goo ides <br /> SAN JOAQUIN COUNTY <br /> MAY 14 2003 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 85212. <br /> C r.c (209)485-3420 <br /> PUBLIC RECORDS RELEASE APPLIQUIO N <br /> APPLICArrf Drcw a•r, 1�ltie,�+ sUSINESSIAGENCY— Arc <br /> ADDRESS I\l t ---- <br /> PHONE >1 5fe^ ZZZ 1 FACSIM1Li <br /> TENTATIVE"APPoINTmExT DATE ��Z `� --- TIME <br /> (PNN"uWe 7 to IQ buMnw dWs from date of appllcnHan wtdim'mw) <br /> CHECK BOX TO EXPEDITE REQUEST-SM.00 FE -$MOUEST PROCESSED INS BUSINESS DAYS <br /> S1C3NATUFt!"OF APPLICANT r Jltiv.. U� _ ,� D�>►TE 5 J, <br /> FILE ADDRESS THIS PU ENI:STAFF USE ONLY <br /> PROGRAW-t:EMENTrs SEARCH <br /> u� Ao aN- va Ma-Atc-, <br /> -- <br /> ti /war(d o I c c (A 124 <br /> )V% <br /> le <br /> ENVIRONMENTAL}IEALTH DIVISION FILES <br /> Ye UNDERGROUND TANK(t sp CLEANUP srQE(LOP) 0 HOUSIRG ABATEMEWr 0 100I.IDVI:1\STE FACILITY <br /> I� OTHER CLEANUP SITE(NON-LOP} 0 FOOD FACR.ITY 13 ;IOt.lp W RS I t~VEHICLE <br /> 0 UNDERGROUND TANK(MONITORINGIREMOVAL) C3 DOG KENNEL 13 uAmY _. .. <br /> O HAZARDOUS WA3TF GENERATOR O CHICKEN RANCH 0 P01 TRIC ATMENT PLANT <br /> 0 TIERED PERNUTTED FACILITY O NMYrEL740TEL 0 PURIPER TRUCISIYARDrrCHEM TCHLETS <br /> O TATTOOIBODY PEIRCING 0 POOLISPA 0 WID U3 E APPLICATION SITES <br /> 0 INEvICAL wAsn FACILITY 0 OTHER 04AME SPE Irn <br /> 1. List up to ton addresses In the space above. Select the types)of filet;from the list above by checking <br /> the appropriate box(es). At least one file tyl" MUST be selected. EM&gja4.L.. -0138 or snail to the <br /> addmas indicated above, <br /> 2. EMD will notify the applicant If any EHD files exist. An appointment far ravl%YN will be conti.rmad <br /> approximately five business days but no later than ten(10) days after of application. The files <br /> will be hold for a maximum of five business clays for review. Appointments ohoulel be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EnD staff may not be immediately pval)albie for review. A new <br /> application may be submitted when the file it%available. <br /> 4. Any file not returned in the same condition &s released will be reorgariizad by EHD staff at the expense <br /> of the applicant. Future Tile reviews by the snme applicant may roquirlr at US..00 ftposlt prior to revlew. <br /> 5. "TENTATIVE appointmerit deters must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next buslnalas day. <br /> 'COWIMMM APPO1NT'i gNb•DATA ._ . <br /> DATE QOWNWED -PHONE PAX PH"Aul <br /> R YES NO RWOW q!jE <br /> art.rtoas <br />