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TO GSB1990 P.01 <br /> SAN JOAQUJN COUNTYPUI:ILIC HEALTH SERVICES OHAU,WJ6UL,4 <br /> EgVIRONMENTAL HEALTH DIVISION <br /> 3q4 FAST WEBER AVENUE,THIRr)FLOOR <br /> .STOCKTON CA 9$202 � <br /> (209)46a-3420 <br /> PUBLIC RECORDS RELEASE APPLICA71ON <br /> A7DFES4_ � <br /> P•Ightl:��CPO FACWMILE <br /> 7ENTATIVE"APPOltdTt44EJVT04TE. <br /> (Pleaaq ante 7,ta 100bbusin"t,do7a trr�date of Ptlrati"Submittal} <br /> Q GliECK aOx TO EXPEDITE REQUEST-S$T.0 <br /> -0 EG R(?QUE$IT PROGM" IN 3 BUSINESS <br /> .» — `_•��`j �,• ,,.— PAYS <br /> -SIGNATURE OF APPLICANT 3t� <br /> FILE 735RESS. THIS 113E FLK)STAFF U$E.ONLY - <br /> M043RAM ELrjMF-NT6 SCARGH <br /> tz Avw -roc 1-D ay.Go <br /> ? Asa r� <br /> Y ��otr.t� --•c^a�.l.�e�..�w� <br /> cz <br /> EI VIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUht4 TANK(UST)CLlrANUP$qr;(LOP) .E3 HOUSINO ABATEMENT <br /> orttizR CLEANUP s1TE{NONdAp) p SOLID wASTE FACiwy <br /> UtVDERGRpUNB7AH>{(AAgHITOR1NGfREMI?YAL) i:7 FOO FANHH� SOLID WASTE VEHICLE <br /> tJ IJAZAROQUS WASTE GrENERAT4R Ll CHICKEN RANCH � DAIRY <br /> ❑ TIERED'PERMMED PACt!ry G CHICKtAOTEEN <br /> kM4rrZL PKK TREATMr-NT PLAXT <br /> 0 TA'TTOGVSQDYPixlRCjNr. to PO4E"HC Q PUMPER TPUCWyAR(NCHEm-rou-I$Ts <br /> 0 MEDICAL WASTE FACILI7T Q PU 0L13LIC WATER SYa^TCM n LAND USS APPUcATIOty SITES <br /> OTHER(PLEA3E SPECIFY ABOVE) <br /> i, List tip to tete,addresses In the space above. SQiect tife <br /> the appropriate b4x( tyAefrom)of files from the list above by Cltec.tiartg <br /> es)- At jeast one file type MUST be Selected. F t 2 9 4 i3 <br /> a t s in Sled ove. mailtQ!Nc <br /> 2• EHD will notify the appi10an> if any EJiq files exist. An appointment for review w;ii be confirmed <br /> approxlrnately five business days but no later than ton(10)clays after receipt of ill be application. The fires <br /> will r held fbr a maximum of five business days for 1eview. Appointments Should be Scheduled <br /> accordingly. <br /> �. A file that as mayively beim worked on by EJ�ti�staff trtay not be immediately available for review. A npw, <br /> PPtfile o may n s in tte3d when the file is available. <br /> 4• Any file not r�turnecX in the same condition dS released wilt he reorgAtiized by EHD Sia#at the expQri <br /> of the aPAliGaant• Future itis revlews icy the same applicant may require a $97.00 depgs;t prior to re}'lew. <br /> 5 '"rENTATJVE aPPOI'etment datft must be confirmed with Eh#D staff. <br /> g Application*received after 3:00 pm will <br /> be prac:ess4d the next business day.. <br /> i • <br /> CO NFIRIIIIED APPOIN-rMEN'f QATF- - <br /> TIME <br /> DATE CONFIRMED <br /> i PHQNE PAX )XITIALS ^-^----•�. <br /> R 11EWI±A YES NO <br /> �� oa rwa REVIEW DATE ' <br /> TOTAL P.01 <br />