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3A]i JOAQUIN COUNTYPUBLiG HE,—T.4 SE <br /> RV <br /> I <br /> C <br /> ES <br /> ENVIRONMENTAL HEALTH DIVISION /\ <br /> n 304 EAST WEBER AyENUE,THIRD FLUOR <br /> tt-1H-1--- <br /> 1 <br /> C-3 tt,.'� `, _ STOCKTON CA 95292 <br /> (209)4683420 <br /> :._ PUBLIC RECORDS RELEASE APPLICATION <br /> w APLICANT I i <br /> ti� P ' P 1"'Y7 ftU.dNE55tAOFLICY__ 1 1 I Iti. <br /> Q _T ADOKES5 <br /> � vJl ( . wt o u 33 <br /> :> PHONE -410- Cl1O -') ) S <br /> FAC51 U-F C( <br /> TENTATIVE'APPOWTMEur DATE a J So0'N 14'� }�ri�£I DIE TIME <br /> [Pted3e tpVa Tto 10 b�sicess t1aYb trap date ofa -"_ J- <br /> ,xaiuc a �° "`c 2001 <br /> CnLCK BOX TO EXPEDITE REQUt'ST.W,0Q TEE_REQUE5r P ESCED W 1 tiUSuvE55 DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Fn-E PODRE3S THIS SWE EHO STAFF USE ONLY <br /> S <br /> PROGNAM ELEMENTS SF�tRC1t <br /> Nd L,o - � - - <br /> z K 1 q L <br /> O <br /> 1 <br /> - �u( ]ENVIRONMENTAL HEALTff DIVISION FILES F E� 2 2W) O <br /> UNDERGROUND TANK(UST)CLEANUPSITE(LOP) ❑ HOUSaNGARAATEAW T ❑ SOLID WAVS'mE FACILfty <br /> OTHER CLEANUP 5m"E(NON-LOPt ❑ FOO(]FACIFACILITYLY <br /> VNCEAGROOND TANK(MGNrrORiNG/REe4OVAL Q ❑ SOLID WASTIr VF-HICt� <br /> K'ZOJ DOUS WASTE aEN6RATOR ) ❑ O�KENNEL C DAUiY <br /> TIERED PERWTYED FACILITY CHICICEW RANCH U PKGTMATMLt1r PLANT <br /> C TAT0C/BODYPCiRCING C IIOn LRiOTELO PtRAPER TRUCKIYARDICtfEN TOILETS <br /> MEDICAL 1YASTti_FACILITY <br /> ❑ POOIISPA LAND USE APPUCA SITES <br /> PUt3DC WATER SYSTEM OTKER(PLEASE SPLCIFY AHOVEI <br /> 1- List up to ten addrartes in the spaces above. Select the <br /> the appropriate box(es). At least one file fypo(s) of files from the list above by checking <br /> address Indlcaten aftnvo CVAs MUST t30 selected. Fax t0(209}dg t{)13$or mail tb Ute <br /> 2 EHD will nobly the applicant if any END files exist An appointment for review Will be Confirmed <br /> approximately five Business days btrt no later than ten(10)days after receipt of aMllCAUOM The files <br /> vrill In held for O rnRAim urn of five business days for rev low, Appointment;shouts be scheduled <br /> accordingly. <br /> 2. A file that is actively being worked on by EMU staff may nM be immediately avaHabte for review. A new <br /> application may be iubntitteG when the fiie is available. <br /> 4- Any flle not returned in the same Condition as released w4f be reorganized by F-4D start at the exper4c <br /> of the applicant Future file reviews by the same applicant may <br /> 5. 'rENTATiVE appoinhncnt dates must be Confirequire a 587,00 deposit prior to review. <br /> mmo6 with END staff. <br /> 6. AAPlications receiv�d after 3:00 pm will be pr the next business day. <br /> CONFIRMED APPRINTMENT DATE TIME - <br /> DATE CONFIRMED PffONE FAX <br /> INITIALS <br /> REVIEWED ' <br /> �`Fii O=-N—W4a YES NO REVIEW DATE <br /> TOTAL P.01 <br />