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1 <br /> ----- IM : Deo-Phase Environmental Same FAX NO.. : 2095690295 pian. 15 2003 11:53AM P2 <br /> PD 1` <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> JAN 1 5 2003 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> ENVIRUNI EN f H'L-ALTj S'T'OCKTON CA 35202 <br /> (209) 4611-3420 <br /> _ PEWIIII T/SERVICES PUBLIC RECORDS RELEASE APPLICATION _ <br /> APPLICANT /,v—k YIC-1 _BUSINESSIACENCY ���7A <br /> ADDRESS 7 <br /> FACSIMILL X 95 <br /> Pb10NE � C <br /> �-- -��p3 <br /> 14 <br /> -TENTATIVE"APPOINTMENT DATC /f_ _ TIMC <br /> [Please give:T to 90 busilicss days from clala of application subirlitlat} <br /> lie, <br /> P_tIiECK BOX YO,E XPEDITE REQUEST-$01,00 FEE-REQU,EST PROCESSI=D IN 3 UU51NtSS DAYS <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> USE ONLY <br /> FILO ADDRESS PHIS SIDE eHD STAFF <br /> PROGRAM ELEMENTS SPARGE$ <br /> i0 14 <br /> jN <br /> 1 r <br /> e­'5 <br /> 4114 <br /> Ilip, <br /> f" a <br /> io <br /> AMR <br /> ENVIRONMENTAL HEALTH DIV15ION FILES �- <br /> O HOUSING ABATEMENT 13 SOLID WASTE FACILITY <br /> UNDERGROUND TANK(UST)CLEANUP SITE[LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) <br /> uNCERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL C❑ DAIRY <br /> 3 TREATMENT PLANT wA5 GENERATOR O CHICKEN RANCH <br /> ❑ PAOTELIHOTEL O PUMPCRTRUCFJYARDICHEMTOILETS <br /> 0 TIERED P✓=rtMITT40FACILITY O POOL/SPA ''" CI LAND USE APPLICATION%ITFS <br /> C TATTOOISODY p[4IRCING ❑ PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY A13'OVE) <br /> O MEDICAL wASTd FACILITY <br /> 1. List up to ton addresses in the space above. Select the type,($) of files from the list above by Checking <br /> the appropriate box(es). At!cast one file type MUST bc,selectod. I"ax to 209 464-013B 0r mail to the <br /> address indicated Zbove. ' <br /> 2. EHD will notify the applicant if any EHO files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application.The flies <br /> will be held for a maximum,of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. Anew <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$x7.00 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 /> 14 <br /> CONFIRMED APPOINTMENT DATE TIME <br /> i <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED to YES NO REVIEW DATE. <br />