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Aug • 25 2003 1 , 20PM , C 0 N EARTH TECHNOLOGIES No-4748 P. 1/1 <br /> PATE RECEVED END LOG NUMBER <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> AUG 2 5' 2003 304 EAST WEBER AVENUE,THIRD FLOOR I <br /> STOCKTON CA 95202 <br /> (209) 468-3420 <br /> . PUBLIC RECORDS RELEASE APPLICATION <br /> �^ <br /> APPLICANT a� � '�` 1 _BUSWE35u�GENCYGCOO&Mf,GI{� lF'.r' nQ <br /> ADDRESS `zt./ Lam- s� Ci�^ _. �n n) y+�Q -' <br /> PHONE ,�( yj,�f�] //��FACSINI r•�./".J 7 <br /> TENTATIVE'APPOINTMENT DATE -I V TIME e . l <br /> (Please give 7 to to business dbb from date of appllCadon sUbmlttaQ ; ■ ) <br /> cHEcK BOX TO EXPEDITE REQUEST-$87.00 FEE REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> �{ 0�c �a <br /> SIGNATURE OF APPLICANT DATE Q C 1 j ;3ctc(�.� <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> 5 PR G E NT9 SEARCH <br /> S a.v� oc�iLlror ✓ - - • <br /> VC50 W <br /> 5+ c K <br /> r - <br /> J L'J <br /> O Ave <br /> ✓ I <br /> 50 <br /> '. 11 <br /> F L Ei <br /> e - <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 'IeUNyyy <br /> DFRGROUND TANK(UST) CLEANUP SITE(LOP) ❑ HOUSING ABATEMENTSCUD WASTE FACBJTY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACIIJ Y SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORiNGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑*CHICKEN RANCH ❑ PKG TREATMENT PLANT - <br /> TIERED PERMITTED FACILITY ❑ MOTEL/HCTEL ❑ PUMPER TRUCK)YARD/CHEM TOILETS <br /> TATTOOIBODY PEIRCING ❑ POOLI5PA - ❑ LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFYABOVE) <br /> 1. List up to ten addresses in the space above.4ele"a type(s) of flies from the list above by checking <br /> the appropriate box(es), At least one file type MUST be selected. Fax to (209)464-0138 or mall to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD flies 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• 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 the expense <br /> of the applicant Future file reviews by the same applIcant may require a $87.00 tkprjtLlr i** <br /> 1-11 <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. W <br /> CONFIRMED APPOINTMENT DATE TIME <br />