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02/07/2003 12:31 949-57315 AMES - LUIS PER* PACE 01. <br /> EII'JIR01•Ih-0FaITi,L HEALTH <br /> ....., n..n:..P till,for,+urwn.n <br /> B 0 7 2003 SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION I I <br /> i ,� �� /� <br /> / 304 EAST WEBER AVENUE,THIRD FLUOR <br /> E 4i»D—"`i STOCKTON CA 95202 <br /> (209)466.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION _ <br /> APPLICANT_�_ ...�Y� <br /> q!; P.!.i;.- 2/'�/" <br /> p�p � .�...__� <br /> ADDRESS-C_5. i�" -... '.-7-_.. <br /> 1�// <br /> TENTATIVE*AVPOINYMCNT DATe TIME _ <br /> _- ,,,... .)$=((ff�36� 5) <br /> (P(rn-R plea T to to bushoas day-from ealo oT applicntloo saVm4lne <br /> 0 <br /> \ <br /> �L, CHECK 00x 7l,CXP6017E RGQUE5Y•369.tl0 FEF--.REQUEST PROCESSED IN S BUSINESS GAYS �n ; 1T .3 R <br /> *SIGNATURE OF APPLICANT .____•......,,�........__.._.. ..._.___.........— DATE ._,-......... ..____.. <br /> /i Fa.E ADDRESS YNIS 51UE EHD S YhFK VSC VNIY <br /> l PROGRAM ELEMENT!!511ARCH <br /> —�Q-.. ...4�1._�....._�0�-e.A.2.t._.�.. .r�-✓'Q. /12a.aTr..GL.�.� _ . .� . - ____.___...._. _.............. <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNnERGROVND YANK(LIST)CLEANUP SITE(LOP) O HOUSING ADATCMCNT 0 SOLID WASTE I'ACTLiTY <br /> OTHER CLEANUP SITE INON-LOP) 0 FOOD FACiLIrY O sOL1D WA3'iE 1n;NIGIE <br /> ign UNDBRCROWW TANK(MONITORING/REMOVAL) U 000 KENNEL 0 DAIRY <br /> HAZARDOUS WAs TEGIINCnATOR 0 CIIICKCN RANCH O PKO Tnr.ATMLH r PLANT <br /> ti '�Q.C1 TIERED PERMITTED FACILITY 0 MOTEUH07CL tl PUMPER TRUCKlYARD/CNCM YOILCTffi . <br /> 1 O TAM910ODY PEINCING U POOUSPA C) LANO USE APPLICATION SITE& <br /> 0 MEDICAL WASTE FACILITY I O OTHCR(PLEASF SPCCII'Y ADOVF.) <br /> 1. List up to (on addresses In the space above, Select the lypo(s)of Tilos from the Iir.1 above by chocking <br /> tho appropriate bux(es). At least one filo type MUST be selected. FTx to ?.09)4fi4;013n Dr InnU t„ -thM` <br /> - addrrss in Ica ed above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for roviaw will be confirmed <br /> approximately five business days but no later than On (10) days after receipt of application. The filen <br /> will bo hold for a maximum of five business days for roWew. Appointments should be scheduled <br /> aceordingly. <br /> 3. A file that is,actively buin0 worhod on by EHD start may not be immediately available for review. -A now <br /> application may be submitted when the filo Is available. <br /> a. Any file not returned in the same condition as released will ba reorganized by EHD staff at the expense <br /> of the applleant. Fuhlro Ilia reviews by the samo applicant may require a$69.00 deposit prior to revlow, <br /> 5, 'TENTATIVE appointment dates must be confirmed with EHD staff.. <br /> G. Applications, received after 3:00 pm will be processed the next bUSIn055 day. <br /> CONFIRMED APPOINTMENTDATE TIME _Pr°” Y�rA (41t(itt!),I <br /> PHONE FAX <br /> gATECONFIRMFD tilrl <br /> �Fa:tl <br /> REVIEWL•U - Y£5 NO REVIEW DATE___�_ ,_a_771y64- <br />