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10-•17-2000 10;29PtM FR TO 15',��I3 <br />97126 P.02 <br />h <br />v+Q 9'L1Yry tamp, Y/ kHU 6W NVMµ4h <br />SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />1=NVIRONMENTAL. HEALTH DIVISION /jam <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 �J <br />(209) 4631-3421) <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT CWJ, fnea for } Du31NE531AGl;NGY I l�-I I�1 L -d �riYGl- 7 S <br />ADDRESS :fjI I eG I <br />PHONE �'c; b t ?L -1 FACSIMILE: (� <br />TENTATIVE' APPOIRTMENT DATE / T1A4E ! -/ .3 C),4 4, P -V-7 <br />(Please giY6; 7 to l0 busi essriaxs21ESSEDIN30LISINESSOAYS <br />date of applicavaA Sabminai) <br />CHECK BOX TO E)UPEDITE REQUEST -1;37.6!? FEE- REaUEST P / <br />SIGNATURE OF APPLICANT� � �.� -- DATE <br />FILE ADDRESS <br />YHI$ w0ri EM STAFF u$E ONLY <br />PROGRAM ELEMENTS SEARCH <br />� /`ft7f IP ,•►aa �I <br />r!.4 ,R � ltiJ - ctiii C�4 <br />S <br />l� <br />C .0 <br />L/t..e L J. . ir19 <br />Sot <br />K <br />t w AAtie&C <br />Fhge-r <br />.�5� <br />Mr <br />b 1nJ kc �Ic_.n�. a n <br />La..n e- Lod: <br />A9 SD <br />3 �� <br />506 11,.-,eti- e_ <br />Aq, <br />EPT IRdHMENTAL HEALTH DIVISION FILES <br />UNOERGROUND TANK (UST) CLEANUP SITE {LOP) M 1.10=1NGADATEMENT ❑ SOLID WASTE" FACILITY <br />Q OTHER CLEANUP SITE (NON -4,0P) ❑ FDGI) FACILITY G SOLID WASTE VEKICI.B <br />C UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL. ❑ DAIRY <br />I7 IiAZARD0k7S WASTE GENERATOR 0 r'MGKEN ftAracH CI PKGi TREATMENT PLMT <br />G TIERFO PF-FWITrED FACILITY a MOTELMOTEL ❑ PUMPER7RUCKlYARI CHEM-rQU.ETS <br />C TAYT001B00Y PEIRCING E3 PODLISPA - - 0 LAND USE APPLICATION SITES <br />MEDICAL WASTE FACILITY 13 PUBLIC WATER SYSTEM ❑ O'fHER (PL.EA$E W4iCIFY ABOVE) <br />I List up to tan addresses in the space above. Select the type(3) of files from the list above by Checking <br />the appropriate box(es), At least one file type MUSTbe selected. Few toizta9) 484-t)!38 or maul to the <br />AHdrp3s SntSic,attrd above. <br />2. EH>j will notify the applicant if any EHD fifes exist. An appointment for review will be confirmed <br />approximately five business days but no later than ten (10) days atter reoaipt of application. The files <br />will be held for a maximum of five business days for review. Appointmcnts should be scheduled <br />accordingly. <br />3. A file that is actively being worked an by EHD staff may not be immediately available for review. A new <br />Application may be submJtted whorl the file is available. <br />4. Any file not returned in the Sarre eonditinn as released will be reorganized by EHO staff at the expense <br />of the applicant. Futiure file reviews by thO SAme applicant may require a 187.00 deposit prior t0 review. <br />5. 'TENTATIVE appointment dates must be confirmad with Ft -ID staff, <br />6, Applications received after 3.001 pm will be processed the next business day- <br />ONFIRMED APPOINTMENT DATE <br />CONFIRMED <br />YES NO <br />TIME <br />PHONE FAX INITIALS <br />OAT'S <br />TOTAL P-02 <br />