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6- 1-02; 4:02AM; IT/EMO • :0,6 926 334, # <br /> 04/30/2002 15:51 4640138 ENVIRONMENTAL HEALTH <br /> Date AllIV - *q3Nu 2e <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> 9NVIRONMENTAL HEALTH DIVISION 1 f; <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468.3420 02 ,,, { j 1 Pj j IT: Ii 9 <br /> n <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT BUSINESSIAGE14CY rr <br /> ADDRESS > ti/,a�l4 Y � vD `;.4nir H u/ �rt��� 7'E3/ 19/,Z- <br /> PHONE FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> (Please give 7 to to business dom df app as n au6miNat) <br /> 0 CHECK BOX TO EXPEDITE REQUEST-$09.0 ER'QUES ROCE 3 B (NESS DAYS <br /> SIGNATURE OF APPLICANT / — DATE <br /> FILE ADDRESS - THIS SIDE EHD STAFF USE ONLY <br /> ,I PROGRAM ELEMENTS SEARCH <br /> -Y <br /> T <br /> i <br /> Z 2� <br /> y 3AJ, 5 a <br /> s <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> YJ UNDERGROUND TANK(UST)CLEANUP SITE ILCP) ❑ HOUSING ABATEMENT ❑ SOUP WASTE FACILITY <br /> 17 OTHER CLEANUP SITE(LION-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ❑ DOG KENNEL E3 DAIRY _ <br /> C3 HAZARDOUS WASTE TANG(MONITORING/REMOVAL) O CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> 0 TIERED ER ITTEDGENERATOR O MOTEUHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL <br /> WAS PEIRC ILL p OTHER(PLEASE SPECIFY ABOVE) <br /> ❑ MEDICAL WASTE FACILITY O PUBLIC WATER SYSTEM <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 selectectl. �rax to (209)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 confirmed <br /> approximately five business days but no later than ten (10) days after receipt 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. Aflle 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 the expense <br /> of the applicant Future rile reviews by the same applicant may require a $89.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be Confirmed with EHD staff- <br /> s Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />