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05/01/2003 08:34 20946711' AGE STOCKTON PAGE 01/01 <br /> EFU LOG NUMB EN <br /> SAN JOAQUIN COUNTY "r <br /> , i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> MAY 0 ]. 2003 STOCKTON CA 95202 <br /> (209)468.3420 <br /> a. r:b\LPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT BUSINESS/AGENCY gL6E119 0`iVlr InrAgjZL <br /> ADDREBa n haW —(-�5 �-f--C. <br /> PHONE AQ'1 telFACSIMILE L J " ' I ' V — C_nQ <br /> TENTATIVE'APPOINTMENT DATE TIME ___ ��vTl'1•I + �'7��3�� <br /> (Please give 7 to 10 business days from date of applica lon sudnitlal) r, tl U_NU,y" <br /> CHECK BOX TO EXPEDITE REQU - 89.00 FEE-REWEST PROCESSED IN 3 BUSINESS CIAI'S a Il <br /> SIGNATURE OF APPLICANT _^ DATE <br /> FILE ADDRESS THIS SIDE EHD tiTAFF 113E—ONLY <br /> 5 SEARCH <br /> I nd <br /> tl Ir Ir ,r 3 - <br /> LEno3 Le <br /> w s LL % _ f <br /> SOV rl <br /> Y1 r <br /> Wtk n S CIG'h0 Int -- <br /> Qor .0 9 - <br /> 'JF U-at WILI 1e, auT-su3e —M05r '!I%Vu(b huet.-. <br /> RPh t:EPut 0 Wj%olt. ENVIRONMENTAL HEALTH DIVISION FILES nf, X1115 p <br /> 11K. .. a,„Ind <br /> UNDERGROUND T1WK(U3T)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ 80111 WASTE FACILfTY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONRORING/REMOVAL) 17 DOG KENNEL ❑ MUR'r <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PI(G TREATMENT PLANT <br /> M TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PIIMPER IRUGKrrARDICHEM TOILET3 <br /> ❑ TATTOOIBODY PEIRCING ❑ POOLISPA ❑ LAND USE APPLICATION SfrEs <br /> ❑ MEDICAL WASTE FACILITY O OTHER(PLEASE <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 1209)464.0138 or mall to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confinned <br /> approximately five business days but no later than ten (10)days after r9o91pt 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 titre expense <br /> of the applicant. Future file reviews by the same applicant may require a $89.00 del:iosit prior to review. <br /> 5. `TENTATIVE appolnbnent dates must be confirmed with EHD staff. <br /> 6. Applications receiver) after 3:00 pm will be processed the next buslnes9 clay. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> BATEOONFIRMED PHONE FAX INITIALS <br /> t;EVtE1A(fp YES NO REVIEW DATE <br /> ENo+a.oz�a —_----__- <br /> anuzooa <br />