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tfr11 r7-r_ pg-lq-_ {iI1�23FM TO �I 7-45434723 P-01 <br /> JULr.:. ...:....... � u•rlw.nti.ra. <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES �] <br /> AUG 1 4.'LUlit ENVIRONMENTAL HEALTH DIVISION �S -1 <br /> 704 LAST WF-DER AVENUE,THIRD FLOOR CJ <br /> -,•` ii STOCKTON CA 55202 <br /> ENVIRONMEri (209)408.342a <br /> PERMMSEP ii LO PUBLIC RECORDS RELEASE APPLICATION• � <br /> APPLICANT <br /> I1 1F-UV-E MA0VI�TLi.t690'i (� su51NErS�SIIAGEENCY C-'t t,��-Sr t�S1TE+ 1/'y— p <br /> ADDRESS 1lnl(O F.. L04 gTt•'LEE7 Sum 2-40 Lill 1�'' 9r'n�I tit ••A\�nNA� �L210I <br /> YNON CA.S_ FACSIIMI��L,,E <br /> TIVC'APPOIHYMCNT DATE FR-i 2OOI TIME �Or'11tne <br /> (Ptc.sclowo 7 to I busincsc drys(m.dal.of 301)14cavoa wbinatot <br /> CIItCK DOX TO,EXPEOITE REQUEST-$07-00 FEE—REQUEST PROCESSED IN 0 DUSINE5S DAYS <br /> SIGNATURE OF APPLICANTlutTE AU 6. t <br /> t�, 7-t <br /> FILE ADDRESS THIS SIDE END STA4FU3E ONLY <br /> CA S2Dr7 -1 PRO GKAMElEM6N fSSEAKCN <br /> I <br /> 2 p <br /> ✓ l 52 <br /> O 0 OWN, <br /> J <br /> CA 4 X20 -51 MN OE-- <br /> i0 <br /> I ENVIRONMENTAL HEALTH DIVISION FILES <br /> �I I 3t1:`nt �l5�LyLJ <br /> 0TH4RGROUNO PANE(UST)CLFANUP;SITE(SOP) D HOUSING ADAYetlENT 0 SOLID WA g •I <br /> UNGERCLL-I(ND TANK WONITOP) D FOODFACILITY0 SOLID WASTE VEIICLHUC 16 <br /> UNO�RGRgUNO TANK{MONITOItING7REMOYAL) ❑ DOG KENNEL O pgp(Y <br /> HAZARDOUS WASTE GENERATOR 0 CHICXEX RANCH 0 PRO TREATMENY PLANT <br /> 0 nER��p PERMITTE D FACI(TY 0 MOTELIHOTEI O PUMPER TKUCK/YARWCHEM YOILE73 <br /> 0 TATYIOOlaOOY PimciNG 0 POOLfSPA '• E3 LAND USE APPLICATION SITES <br /> D MEDICAL WASTE FpCAITY O PUBLIC WATER SYSTEM O OTHER IPIamr sPECUYADOvEJ <br /> 1. ; 'List up to ten addresses In the space above. Select trio type(s)of flits from the list above by checking <br /> the appropriate box(es). At least one filo type MUST be selected. Fax to(209)464-010 Or mail to 1hP <br /> address indicated above <br /> 2. EHIO will notify the applicant it any EHO files exist. Alt appointment for review will be if <br /> approximateiy five businoss days but no later than ten(10)days atter receipt of application. Ttd fifes <br /> will be holngl for a maximum of five business days for review, Appointments should be scheduled <br /> 1 <br /> ,accordingly. <br /> 3, A file that is actively being worked On by PHD staff may not be Irnnlediately available for review. A now <br /> application may be submitted when.U)0 file is available. <br /> 4. Any fife not returned in trio 94010 condition es released will be m0rganized by EHD staff at the expanse <br /> fthO 5 I 'TENTATIVE applicant. Fut <br /> urc file reviews by the same applicant may require a$87.00 d01703it prior to review. <br /> appant)nent.dates inti be confirmed with EHD staff. <br /> 8. Applications reeelvod after 3:00 pm will be processed the neXt business of <br /> 1 <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE FONFIRMED <br /> PHONE FAX <br /> INITIALS <br /> REVlE1i1fED YES NO REVIEW OATF <br /> TOTAL P.01 <br /> a <br />