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MUo cjLUUj i [urM , LUNIIUK LAHIH ,IECHNULUUIES N4�414b N. :I./I <br />MAY€REGHVE27 <br />Etta LOG NUIMSER <br />SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />ENVIRONMENTAL. HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />t �3 STOCKTON CA 95202 <br />(208) 469.3420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT `_ E�UswlrssrAGEI+IGY '^� �7 r <br />ADDRESS ��� S V• <br />PHONE FACS1ha11 E �' <br />TENTATWV APPo1NT'MI_NT DATE " q U tInE " <br />(Pleasa Orve 7 to 40 business d6h tram data of application submJtta1) <br />LXCHECX BOX TO EXPEDITE- REQUEST - $87.00 FE4 REQUEST PROCESSED INV3 BUSINESS DAYS � �?_, " <br />SIGNATURE OF APPLICANT DAA V5i <br />�W: <br />� .�WM— NA <br />. ENVIRONMENTAL HEALTH DIVISION FILES <br />UNDERGROUND TANK (US7) CLEANUP Srr£ (LOP) C1 }LOUSING ABATEMENT SOLID WASTE FAGiUTY <br />OTHER CLEANUP SITE (NON -LOP) M FOOD FACILITY sOL1D WASTE VEHICLE <br />UNDE:RGRnUN0' TANK (MONJTOMNOMEMOVAL) 0 DOG KENNEL 13 I)MRY <br />HAZARDOUS WAS -M GENERATOR O ' CHICKEN RANCH" 0 PKr3 TREATMENT PLANT <br />TIERED PERk MIM FACILITY C] MOTELIHOTEL C] pUFAPF-R iRUCMlYARDJCHEM TC1LET3 <br />TATTOO/BODY PEIRCING 0 POCUSPA - - ❑ LAND USE APPLICATION snxs:, <br />MI_0CAL WASTE FACU-J Y PUBLIC WATER SYSTEM 0 OTHER (PI E-A E tFECJFYA6OVE") <br />y. List up to ten addresses in the space above, &94e a type($) of flies from the list above by checking <br />the appropriate box(es). At least one file type MU -5T be selected. Fax to 209 4r>401 18 or mall to e <br />address indicated above. <br />2. EHD will notify the applicant if any EHD files exist. Ars appointment for review will be confirmed <br />approximately five business days but no'later than tett (10) nays 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 EHp staff may not be immediately available for revi6v., :4 new <br />application may be submitted when the fiie'is available - <br />4. Any file not returned in the same condition as released wilt bb reorganized by EHD staff at the expense <br />of the applicant Future file reviews by the same applicant may require a $87.00 deposit prior to:review. <br />5. 'TENTATIVE appointment states must be. confirmed with EHO staff. <br />5. Applications received after 3:00 pm will be ,processed the next business day.R. <br />CONFIRMED APPOINTMENT DATE TIME <br />