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4u L . t [ :! li i 1 - J U a7 L {i,C` H: w 1 A i i:: I!, '�. v . i J 4 - . a C - • ,� ; • . ' <br />117- -20813 fl'3:2 'ail FRi TO 4154535661 P.02 <br />�.` "�i7 ILII: 2111MUCN <br />SAN JOAQUlN Col1N7Y'E1BL1C HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVkNUE, TI -IRU F=LOOR <br />s% STOCKTON CA 952G2 <br />, ►' �� � j (249) 468-342D j} <br />PUBLIC RECORDS RELEASE APPLICATION <br />Y �� <br />I <br />Zoe eU51NES51AGENCY <br />RLSlft�-,/!f ESS Q + 11'CA <br />PHONE ` DIY J �5 ' S (d �J j iACSlhlllE ! J . 1 7_ I— <br />TENTATIVE' APPOINTN,ENrGATE ! � -�31 � :illi <br />IPlease give T to 10 business days from daft o: appl caEi1}an subrrcittu� <br />ClifC''KBOX -To EXPECITf R£CjUC5T • $SU'2 FEE - REQ ST R CESSED'N BUSINESS DAYS <br />SI6NATURE OF APPLICANT _ f !' »ATE �^7 <br />/07) <br />li <br />' ice... <br />ME"Rivow <br />m., • <br />���: <br />D HOU51NG ABATEMENT <br />pp FACILITY <br />ii 0 SOLID WASTE FALrrY <br />:.j 0 SE]UD wnST� VEHICLECi <br />C7 OTHER CLEANUP SITE (NON -LOP; <br />ism <br />O MG KENNEL <br />i' n DdJRY <br />-PLANT <br />Q HAZARDOUS WASTE GEttERATaR <br />It <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />AClFpUNDERGROUND TANK (USTI CLEANUP SITE (LOP) <br />D HOU51NG ABATEMENT <br />pp FACILITY <br />ii 0 SOLID WASTE FALrrY <br />:.j 0 SE]UD wnST� VEHICLECi <br />C7 OTHER CLEANUP SITE (NON -LOP; <br />O UNDERGROU.4D YANK (MC)NiTORJNCIREMOVAL) <br />O MG KENNEL <br />i' n DdJRY <br />-PLANT <br />Q HAZARDOUS WASTE GEttERATaR <br />Ci CHICKEN RAN4;31 <br />❑ 1PXG TREATMENT <br />C1 T1ERFDPFRMLTTE0FACI1-ITY <br />Q MOTELFNOTEL, <br />a PliMPERTRUCWYARIUCHEM-YOILE75 <br />in TATTOOIEODY PEIRC114G D POOIISPA a tJM USE APPLICATION SITES <br />MEDICAL WASTE FACILITY 'O PUBLIC WATER 5YSTF el �+ 13 UiHER (PLEA$E SPF_PFy AaOVEI <br />�1 <br />3. List up to ten addresses in the Space above. Select the Woe(s) bf files from the list above by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to 12 09) 464-0S3 or mail to the <br />dicaiL above. { <br />2. I=HD will notify the applicant if any EHD files exist- An appointrriant for,, review will be confirmed <br />approximately five business days but no later that ten (101 days after receipt of application. The flies <br />will be held for a maximum of five business days fur review. Appoirdme should be scheduled <br />accordingly. Il <br />3. A file that is actively being wGrked on by EHO statt may nt-t Ile immediately available for review. A new <br />application may be suomitted when the file Is available. <br />4, Any file not returned in the same condition as released w0I be reorganized by EHD staff at the expense <br />of the applicant. Future file reviews by the same: applicant mayirequire a $37.00 deposit prior to review, <br />S. *TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Applications received after 3.00 pm will be processed the .Selo business day - <br />i7 <br />i <br />CONFIRMED APPOINTMENT PATE _ <br />BATE CONFIRMED <br />REVIE WED <br />YES NO <br />PHONE <br />li <br />7EME . 'a <br />FAX, INITIALS <br />TOTAL, P,M <br />