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PAGE 01 <br />PAGE 02 <br />E.111..1 V5r,: ;motion <br />ELLE ADDRESS THIS SIDE EHO STAFF USE ONLY <br />PROGRAM ELEMENTS SEARCH <br />_3.c? Lig —1,104.-trAn <br />;CLOSce N. Thali-r? <br />01/03/2003 16:23 9252121 AEI CONSULTANTS (SF) <br />01/03/2003 15:16 464 1 ENV IRONVEL4TAI ALTH <br />h.,0"1„..3.0 • <br />41, I <br />JANA32.003 <br />pEP.ilcH rk;1;6.1.,i4T Naritatie, <br />SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />(209) 468-3420 (po9) - 3g —PAX_ <br />PUBLIC RECORDS RELEASE APPLICATION <br />s‘rlrx\k:2/- BusiNEss,AGNcy A1 CONes\Akvtvi\iS <br />ADDFtESS 2 0 0 ‘..4vv.n•e‘ <br />PHONE 2-Z QC) (J7 FA6S1MILE 29)7.Z3 • <br /> <br />TENTATIVE* Appoemaurr 6ATE ti.i I iro ere rrp mvE ckyl - .1 (Musser utvo 7(o 10 busloona daya fro cloto of pplIcAtten su •I <br />1:3 CHECK BOX TO EXPEDITE REQUEST- $119.00 FEE- REQUEST PROCP-GSED IN 3 BUSINESS D n <br />*SIGNATURE OF APPLICANT DATE / 3/03 <br />C C(.y5 <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />. <br />)11i UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />Si OTHER CLEANUP SITE (NON-LOP) <br />4 g UNDERGROUND TANK (MORITORING/REMOVAL) <br />.HAZARDOUS WASTE GENERATOR <br />CI TIERED PERmITTED FACILNY <br />0 TATTO0RIODY PEIRCING <br />10. MEDICAL WASTE FACILITY <br />o HOUSING ABATEMENT <br />CI FOOD FACILITY <br />1:1 DOG KENNEL CI CHICKEN RANCH <br />CI MOTEL/HOTEL <br />CI P001./SPA <br />SOUD WASTE FACR_ITY <br />SOLID WASTE VEHICLE <br />CI DAIRY <br />PKG TREATMENT PLANT <br />PUMPER TRUC,c/YAJO?CHEM toi,!..e-rs <br />a LAND USE APPLICATION SITES <br />0 OTHER (PLEASE SPECIFY ASOVE) <br />1. ust up to ton addresses In thp 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 selected. Fax to (2091 464-0138 or mall to the ... addcoss indicated above. . . , <br />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 />A file thatjs actively being worked on by END staff may not be Immediately available for review. A new <br />application may be.submitted when the file is available. <br />Any fire not returned in the same condition as released will be reorganized by EFID staff at the expense of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to review, <br />S. : *TENTATIVE appointment dates must be confirmed with EHD staff. <br />, G. Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE, TimE <br />DATE CONFIRMED <br />REVIEWED e • YES <br /> <br />PHONE FAX <br />nEview DATE ' <br />lNrrIALs <br /> <br />NO <br /> <br />I1 1-1111 <br />2,