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`rm=1r! p'�i ,Environmental PHONE NO. : 209 369 4228 Jug. 17. 2003 11:05RM P2 <br /> SAN JtYAQUIN COUNTYPUBLIC HEALTH S RVICES � kNgScouuualn <br /> ENVIRONMENTAL HEALTH DIVISION <br /> JUN 1 .1 2003 304 EAST WEBER AVENUE,THIRD 1 L0012 <br /> STOt;KTON CA 95202 I v <br /> ENVIRONMENT HEALTH (49)468-3420 <br /> '"MIr;SE VV1Q <br /> -� tPGU1JBLIC RECORDS RELEASE APPLICAT•�ION <br /> APPLICANTBUSINI:SS=ENCY <br /> ADDRESSZz 4a � <br /> •�/ / �� <br /> PHONET J70� FACS1i11LE("953C0?- — <br /> TENTATIVE'APPOINTMENT DATE &//4'/03 <br /> -�-�-�� <br /> (Please give 7 to 10 busTIME <br /> inors ayse iron date of appl(railon zubm=iti IJj—�—� <br /> CHECK BOX TO EXPEDITE REQUESTf-S89AQFEE- Q11EST PROCESSED IN 3 BUSINESS DAY.i vp'+3 a. <br /> SIGNATURE OF APPLICANTXY <br /> -- DATE �o I (lU`j b`I <br /> FILE ADDRESS THI:T SIDE E HIT STSTAFF USE DULY <br /> PROORANI EL"EMr_'NTE]SEARCH <br /> e-to Pm 93(n 0f Sdvc v� <br /> fTOQ dzc ,1 <br /> d Son 4Ja <br /> R O < I.)— <br /> AIN _ -- — <br /> M4- <br /> Pt - <br /> r M <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> <UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT Cl YOLK-Wa3TE F/1CILITY <br /> 1�(OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY CI SOLIC WASTE VI-HICLI° <br /> K UNDERGROUND TANK(MONITORINWREMOVAL) ❑ POC:KENNEL Cl ICAIRI" <br /> ❑ HA2AR000S WASTE GENERATOR O CHI"KEN RANCH Cl F'KG 1 TLEATh1F�rr PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MO`ELIHOTEL El PUMP I?R TRUcKIYARCICHEhl TOILETS <br /> ❑ TATTOOISODY PEIRCWG C3POCIU/SPA 11 LAND USE APPLICATION SITES _ <br /> O MEDICAL WASTE FACILITY ❑ PUE LIC WATER SYSTEM 17 OTHE I(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of filer.fro M the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax�;?09)4mol38 or mall to the <br /> address indicated above. , <br /> 2. EHD will notify the applicant if any EFID files exist. An appointment:for re•riew will be confirmed <br /> approximately five business days but no later than ten (10) days after recl:ipt of application. The files <br /> will be held for a maximum of five busines s days for review. Appoinhnents should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by E:HD staff may not be immediately available for review. A new <br /> application may be submitted when the fila is available. <br /> 4. Any file not returned in the same condition as released will be reorilanizot I by EEHD staff at the expense <br /> of the applicant. Future file reviews by tha same applicant may require a :;89.00 deposit:prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3:00 pm will bo processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INmiki-S <br /> REVIEWED_ YES _ NO REVIEW DATE <br />