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01 03/2003 15:16 4540136EW1RDNt�NTAL F -AL H rR= °L <br />JO•UIN COUNTYPU13LIC HEALTH SERVICES ` e'�'loC-uuMacn <br />ENVIRONMENTAL HEALTH DIVISION <br />004 EAST WM3ER AVENUE, THIRD FLOOR �a <br />A11r; 6 Z 05 STOCKTON CA 95202 ✓✓✓✓ <br />EN IRONI,9ENTEAL7t (209) 468-3420 <br />t�'UBLIC RECORDS RELEASE APPLICATION <br />PUC WT1. 1 N f eUSIt/EfiSTAGENCY A, X.j� <br />ORE 2. 6 M 106 V 1/a L i Q <br />'rFP iONE 2,5 X PAG15iM[L,E <br />TENTATIV PRO APPOINTMENT DATE AoG • 2 G, 200 -5 TIME 1 : 0 g m <br />(Plaaso vivo Y Is 10 busNwsa days from data of aPPIlra len submittal} r <br />ECK BOX TO EX PTOrM REQUEST, $89.00 FEE - REQUEST PROCESSED IN ] BUSINESS DAYS <br />*SGN URE OF APPLICA t . , . 1 Q >t X �� DATE <br />, F- 2-3 C7 S <br />�■THIS <br />�PROGRAM <br />310E • .. <br />HEALTH fJIV1510N <br />>=1LE5 <br />:ROUND *AhK <br />(UST) CLEANUP SITE (LOP) <br />O HOUSING A9ATEMENT <br />O SOLID WASTE FACILITY <br />-UANUP Sr(NOR-LOP) <br />❑FOOD FACILITY <br />Q SOLID WASTE VEHICLE <br />:RO(RtD TA <br />K fMONtTORINr.MXMOVALI <br />13 DOG KENN[L <br />C) DAIRY. <br />MUS WASTE <br />OtHrRATOR <br />❑ CHICKEN RANCH <br />O PKC. TREATMENT PLANT <br />Cl <br />PERNtTrED <br />am <br />CI MOTEUROTEL <br />PUMPERTRUCIVYARI);CHEMYOtL£TS <br />NEW AM <br />�MEN <br />fUMMIUM <br />M� <br />NIM11'�L�t. <br />��`ft-f"= <br />=10i nr. <br />am <br />I■om ■ <br />!BODY PMFt iNG tl POOLISPA ❑ LAND UaE ,4PPIJCATION SITES <br />L WASTE FA a.TTY 5 ❑ OYHER (PLE.ASE SPECIFY ADDVE) <br />Ust up to an addresses In the space above. Select the types) of files from the list above by checkin <br />the appropriate box(es). At (cast one file type MUST be selected. Fax to_(209) 464-0178 or mail to the W***9 <br />address i dicated above. <br />HHD will notify the appllaant if any EHD files exist. An appointment for review wilt be confirmed <br />approximz toly five business days but no later than fem (10) days after receiptpf application. The files <br />will be hell for a maximum of five business days forreview. Appointments shoutd be scheduled <br />according y. <br />A file that s, actively being worked on by PHO staff may not be Immediately available far review. A n <br />applkation may be submitted when the file Is available. <br />Any fiie n t returned in the same condition as released will be reorganlzad by EHD staff at the expon <br />of the app Icant. Future rile reviews by the same applicant may require a $89.00 deposit prior to raviciNo <br />'TENTAT appolntment dates must be Confirmed with EMD staff. <br />Applicatio ris received after 3:00 pm will be processed the next business day. <br />({HED API 10INTMENT DATE. TIME <br />INFIRMED PHONE FAX INrriALB <br />ED YES NO REVIEW DATE ' <br />t��?." <br />ENVIRONMENTAL <br />HEALTH fJIV1510N <br />>=1LE5 <br />:ROUND *AhK <br />(UST) CLEANUP SITE (LOP) <br />O HOUSING A9ATEMENT <br />O SOLID WASTE FACILITY <br />-UANUP Sr(NOR-LOP) <br />❑FOOD FACILITY <br />Q SOLID WASTE VEHICLE <br />:RO(RtD TA <br />K fMONtTORINr.MXMOVALI <br />13 DOG KENN[L <br />C) DAIRY. <br />MUS WASTE <br />OtHrRATOR <br />❑ CHICKEN RANCH <br />O PKC. TREATMENT PLANT <br />Cl <br />PERNtTrED <br />AW1.11Y <br />CI MOTEUROTEL <br />PUMPERTRUCIVYARI);CHEMYOtL£TS <br />!BODY PMFt iNG tl POOLISPA ❑ LAND UaE ,4PPIJCATION SITES <br />L WASTE FA a.TTY 5 ❑ OYHER (PLE.ASE SPECIFY ADDVE) <br />Ust up to an addresses In the space above. Select the types) of files from the list above by checkin <br />the appropriate box(es). At (cast one file type MUST be selected. Fax to_(209) 464-0178 or mail to the W***9 <br />address i dicated above. <br />HHD will notify the appllaant if any EHD files exist. An appointment for review wilt be confirmed <br />approximz toly five business days but no later than fem (10) days after receiptpf application. The files <br />will be hell for a maximum of five business days forreview. Appointments shoutd be scheduled <br />according y. <br />A file that s, actively being worked on by PHO staff may not be Immediately available far review. A n <br />applkation may be submitted when the file Is available. <br />Any fiie n t returned in the same condition as released will be reorganlzad by EHD staff at the expon <br />of the app Icant. Future rile reviews by the same applicant may require a $89.00 deposit prior to raviciNo <br />'TENTAT appolntment dates must be Confirmed with EMD staff. <br />Applicatio ris received after 3:00 pm will be processed the next business day. <br />({HED API 10INTMENT DATE. TIME <br />INFIRMED PHONE FAX INrriALB <br />ED YES NO REVIEW DATE ' <br />t��?." <br />