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04-16-21 <br /> io 1969=t[i`�Ei32 P.01 <br /> ��rrf.ItkCilvco ""� Ehu tuu wuru�n <br /> hl� U SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES `l <br /> { t '7 ENVIRONMENTAL HEALTH DIVISION A <br /> APF 1 7 ZUO1 344 EAST WEBERAVENuE,THIRD FLOOR <br /> STOCKTON CA 85202 <br /> (209)468-3420 • <br /> i'r_P,LTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 1' ,.yL2`lY TI/t1 COIf ST�I'N1 gUSafL93/AGENCY G er C v R/ �/U C <br /> ADDRESS 1-4 1-4 Oi TO51r -1.9 J7L 11). sem- 2Q.5 <br /> PHONE "l Z.� - � -76 3L FACSIr/ILE g Z s - y!' �' 963 z , <br /> i TENTATIVE A im <br /> APPOINTUENT DATE ( /Z TE 0/�'�} <br /> (Please Iivv 7 Iu 10 busDli"days from data Of apPllcation tubmitW) <br /> CHECK BOX TO EXPEDITE REQUEST�7.00 FEE-REQUEST PR='3�0 BU§JNESS DAYS / <br /> SIGNATURE OF APPLICANT , (/�-'-�"'��Y�'— DATE -T /7 e <br /> -- i <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> r c 38 <br /> 6 2 3Fro / <br /> 2„ D 'S o 2 81 a 94 ZO ZZ <br /> Z L - Gp•A r S d N G � <br /> afilQ 41 <br /> coal z N <br /> ccu �o�r 9S N 4 <br /> d (Tf7 CLt7UC,ff <br /> D o R D 5T E c a r 9 2cro .23F1 <br /> I k D T, f 8l 9 Mk��j <br /> ca S7-CcK 3'260 <br /> ENVIRONMENTAL HEALTH DIVISION FILES ^^rt r!^}t <br /> ( I7" NDEROROUND TANK(LIST)CLEANUP SITE(LOP) C7 HOUSING A13ATEMENT SOLD WASTE WIIIIUUU�JfffJIILI'� IILLfy, <br /> HER CLEANUP SITE(NON4.OP) ❑ FOOD FACIIn'Y ❑ SOLED WASTE <br /> VNOERGROUND TANK(MONITORiNWREMOVAL) Cl DOG KENNEL ❑ twRr MAY - 1 [�^�' <br /> fAZARDOUS WASTE GENERATOR n CHICKEN PARCH ❑ PKG TREATMENT PLANT <br /> 1 TIERED PERUITTEO FACILITY ❑ MOTELHOTEL C! PUMPER TRUCKlYARDICNEat TOILETS <br /> r VATTOOMODYPEIRCWG O POOLISPA ❑ LAND USQ APPuCATioN SITES <br /> MEDICAL WASTE FACRJTY C1 PUHLIG WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> • 1. List up to ten addro;ses In the space abovo. Select the type(&)of files from the list abawe by checking <br /> the appropriate box(es). At ieast one file type MUST be selected. Fax to f$091 4f4-0138 or mail to the <br /> Iddrass Indica aye, <br /> Z. EHD will notify the applicant if any EHD files exist. An appointment for review wlil be,confirmed <br /> approximately five business days but no later than ten(10) days after receipt of application. The files <br /> will be hold for a maximum of five buslne$4 days for review. Appointment$should be scheduled <br /> accordingly. <br /> 3. - A file that is actively being worked on by EHD staff may not be immodfatniy available for review. A new <br /> application may be submitted when the file Is available. <br /> 4. Any fila not retumed in th•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$87.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> i <br /> 5. Applications received after 3:00 pm will be processed the next business day. <br /> t <br /> i <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> i <br />