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FROM : Ground Zero Analysis' PHONE N0. : 209 838 9883 Feb. 13 2003 02:27PM PI <br /> xF�4 KttNVCa ; II tWQLW111W%N <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION I I <br /> FEB 1 3 2003 104 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 7 <br /> (209)496.3420 <br /> n ,i wIICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT . 1 r-VP 8USIN9SSIAG6NCY (S?W) <br /> la - <br /> ADDRESS ��I q1 G��,�( ai I 195 r--J0V-' <br /> PHONE $ 1 0�v FACSIMILE 39— <br /> TENTATIVE'APPOINTMENT DATE Z/ZLkf03 TIME <br /> (Ploasx pivv 7 to 10 bvsi oee says From dote Of eppliuuon avbrnittal) �� 3� <br /> C2 CHECK BOX TO EXPECTE REQUEST-$78.0 FEE-REQUEST PROCESSEDU IN 3 BUSINESS DAYS ? (�J <br /> SIGNATURE OF APPLICANT _ � � DATE 2- <br /> Fu-r ADDRESS THIS SIDE END STAFF VSE ONLY <br /> PROGRAM ELEMENTS 6EARCH <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP 3ITP(LOP) ❑ HOUSINGABATEA:ENT 0 SOLID WASTE FAT LITY <br /> OTHER CL.FANU?SITE(NON-LOP) q FOOD FACILITY u SOLID WASTE VENtC':.E <br /> UNDERGROUND TANK1NONTTORINGIREMOVAL) O DOG KENNEL .1. DAIRY <br /> HAZARDOUS WASTE GENERATOR 6 CHICKENWWCH O PKG TReATMENT PLANT <br /> .::TIERED PERMITTED,FACILITY 4 MOTELNOTEL 0 PUMPER TRUCKNARDK:HEN TOILETS <br /> TATTOOSODYPEIRCINB O POOUSPA 0 LAND USE APPLK'.AT-.ON SITES <br /> 14EDICAL WASTE FACIJTY X PUBLIC WATER SYSTEM 0 OTHER(PLEASE::PECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list move by checking <br /> the appropriate box(es). At least one fie type MUST be selected. Fax!o(209)494.0jWi or mail to the <br /> addresaindicated above. <br /> 2. EHD will notify the applicant If any EHD files exist. An appo;ntment for review will be confirmed <br /> approximately five businass days but no later than ten(10)days after receipt of appJarition. 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 Tile is zvailable. <br /> 4. Any file net returned in the same condition as released will be reorganized by END staff atthe expense <br /> of the applicant Future file reviews by the same applicant may require a $73.00 deposit prior to review. <br /> 5. 'TENTATfVE appointrnent dates must be confirmed With EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME _ <br /> iDATECONFIRMED PHONE FAX INrIALS _ <br /> REVIEWED YES NO REVIEW <br /> ° �0° TOTAL P.01 <br />