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_ _ ;• _ tet <br /> ..ni[wY.IIIVW " 1�1�1`[G4l'µy I'.V•G <br /> SAN JOAQUIN COUNTYPUBLiC HEALTH SERVICES tn4 w„YNe <br /> \ ENVIRONMENTAL HEALTH D1VisloN / I <br /> �l 304 EAST WE AVENUE,THRD FLOOR <br /> STOCK <br /> TON CA 95202202il/\�/Jl <br /> 1209)460-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �6I Alt-:6H�O V DA BuSDtes3IACENCY SMtT-di-C �']6k'E j r`c IC S <br /> ADDRESS <br /> EA51 Its 5 H t NL1�>�} 13�(J (.J A-♦'�' <br /> PHONE I.3 _✓3 3 x FACSiMIt$ 1�✓� T Jb �� �., <br /> TENTATIVE'AppomTMENT DATE TIME �_' ''' • <br /> iPlearf ylNs>le ro AUChHLa day rrem4m.41 appruati"#.bmRtglj �.tT <br /> CHECK BOX TO EXPEDITE REQUCST-$78.00 FEE- n <br /> REQUEST PROCE53nED IN 7 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT `�GT� OATt -in,>� <br /> FILE ADDRESS THIS 5159 figli STAFO USE OKLY O <br /> PAOORAM ELEMENTS SEARCH <br /> AsI CHf eTT U9 ft'q NO [e <br /> r ISU� sAs cH19Jz1_te <br /> l RS E S C.i A :_ �l , , � r <br /> lc_ 4— <br /> ih a-K_ k <br /> w <br /> WED <br /> ENVIRONMENTAL HEALTH OMStON FILF_SP i UNDERGROUND TANK(VST)CLEANUP SrrE(Lop) q HOVSINO ABATEi7ENTq SOLID WASTE FAC,LnY <br /> '9 OTHER CLEANUP;ITE(NON-LOP) q FDtx7 FApL.ITY O SOLID WASTE FACILITY <br /> Xy UNDERGROUNOTANK(MONITDRIN3JREMOVAL) G DOG FACI1 n SOUR /,r <br /> KtExry P US WASTE TEn Ackxry TOA l7 CHKWN RANCH 0 PRG TAEATMEW PLANT MA 1 29 <br /> :_- •� <br /> DAIRY <br /> I7 TATTO M00Y PerReM riTYY _ q MOTEUNOM. ❑ PiWPER TRUCK'VARDJCHEM TWLETS <br /> O NMCA WAS PEtACWO q POW41FA q LAND USE A <br /> O leED,Clu.WASTE FACILITY FrES <br /> ❑ PUBLIC VIAU94YSTE-M O OTHER ASE SFFCIF ABO <br /> (PLE.tSE$pEC{FY ABOVE) <br /> t. List uP to ten addresses In the span above. Select the types)of Tiles tram the fist above by checking <br /> the approptfatc box(es). At least one Tile typo MUST be selected. Fax to a"I 454.0138 or mail to tb. <br /> at <br /> z END will rrotlfy the apPliCSnt N any EHD Ills exist An appointment for review will be confirmed <br /> approximately five business days but MO later than ten(10)dayi after receipt of appikVion. The Tiles <br /> will be hold for a maximum of five businesa days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked DR by EHO staff may not be immediately available for raviow. Anew <br /> "PI'"ration may be Submitted when the fila is available. <br /> 4. Any file not returned in the same candlUan at released Will be reorganized by EMD staff at the expense <br /> of the aPplkant_ Future file reviews by the same applicant may require a$19.00 deposlt prior to review, <br /> 5. 'TENTATIVE apppintmant dates must be Confirmed with EHO staff. <br /> 6. APPlications received after 3:00 pm will be Processed the next business day, <br /> CONFIRMED APPOINTMENT DATE TIME <br /> [DATE CONFIRMED PHONE FAX INITIAL$ <br /> REVIELVED YES NO REVIEW DATE <br /> Fh ell a emwg <br /> TOTAL P,02 <br />