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SAN JOAQUIN COUNTYPUBLIC HEALTH Sr- LIIU LUU NUMUI<RVICES 6&".L.0(3IVIRONMENTAL HEALTH DIVISI� <br /> `St14 EAST WEBER AVENUE,THIRD FLOOR 1 W"5� <br /> STOCKTON CA 95202 <br /> (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION ( � <br /> APPLICANT LmNARD L. 4S0.j BUSINESS/AGENCY-&o--I,-,,14t,56 6jv Vt-(WMPITRL_ Iti C- <br /> ADDRESS Za17i 1 Ve.Ac�wto_vt Nic Alh'kSz�t 0 Doty 'S7) CAN RS-651, <br /> PHONE Z09 56101 OL93 FACSIMILEoaa°I 6to9 62-A is OO/OV5 <br /> TENTATIVE"APPOINTMENT DATE M00k IOI -(�OOO TIME <br /> (Please give 7 to 10 business days from date of application submittal) <br /> © CHECK BOX TO EXPEDITE REQUEST-$78.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OFAPPLICANT��i�L�th� L L�1g„JJo,J DATE 0±10-7100 <br /> FILE ADDRESS <br /> IIJ Srs�t.KT'Ur.� <br /> V SW 1FT ANSPofLr 9rjk Sw 1FT �T I vel % 1 r'j r0 <,/c <br /> tBtZS S1A"6., &Wijo CNaVQTER-W >t`l\ <br /> V <br /> COLO A&%O(ti�CAw7A <br /> v `>AGGv X�. MreT LAt FA�rtS NII I.)AVY VjZiVr__ roo; — <br /> rJ �£�O T2V�tC 5Tt7P le o� tov H /L1� <br /> I 01J !i"SI5 W. CH 4; O <br /> COPS-r, C(3, 9aS W. C-\k a- <br /> = f'srr>Tt rr<.'k"V_ .rgZS NAVY pWvG r4►' <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ® UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ® UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ® HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY _ 13MOTEUHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOO/BODY PEIRCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the <br /> address indicated above <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days 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 EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $78.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EH 00 1 001105/00 <br />