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+�a7(�_` - SAN JOAQUIN COUN`�YPUf�LI� HL'AL-1-H bLKVIGt6 - <br /> `�� �.�, `,r NVIRO►NMENTAL HEALTH DIVISI <br /> 004 EAST WEBER AVENUE, THIRD FLO <br /> FEB - 5 2001 STOCKTON CA 95202 <br /> {209) ase-3420 <br /> ,--, PUBLIC RECORDS RELEASE APPLICATION <br /> FFR-' <br /> A I ?IT SUSINESSIAGENCY (]e)f)0- C-ed <br /> ai OSI Ii t'S � Q C ^� 'ff� �] /f'S� • <br /> FACSIMILE <br /> TENTATIVE"APPOINTMENT DATIE � ��r�_��Od fl►UI��TIAAt 1 ���?� <br /> (Please give 7 to 10 businosis days from date of applicA6nn submittal) <br /> CHECK BOX TO EXPEVITE REQU T-S!-"Q FEE—REQUE T PR4 ESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT f3A"TE <br /> FILE ADDRESS <br /> 2. <br /> r <br /> Qin r a3 <br /> aft <br /> Y I I 1 <br /> _ t I <br /> 19q_ <br /> w <br /> 4VLQ <br /> ENVIRONMEN AL HEALTH DIVISION FILES LQ <br /> "PC UNDERGROUND TANK(UST)CLEANUP siTE 1LOP) HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE fNON,LOP} 16 FOOD FACILITY 0 50LID WASTE VEHICLE <br /> UNDERGROUND TANK(MONIT013INGIREMOVAL) 13 PCG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR Cl CHICKEN RANCH Q PKG TREATMENT PLANT U1 <br /> 0 TIERED PERMITTED FACILITY E3 MOTEIHOTEL 0 PUMPER TRUCKIYARDIGHEM TOILETS <br /> D TATTOOJHODY PEIRGING 0 POOL SPA d LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY C} PUBLIC VVATER SYSTEM n OTHER(PLEASE SPECIFY ABOVE) <br /> I. dist 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 ono file type MUST be,selected.. Fax to 209 64-0138 or mail to the <br /> addregs_indicated above. <br /> 2. EtiR will notify the applicant 11 any EHd files exist_ An appointment for review will be confirmed <br /> approximately Five business days but no later than ten(1 b) days after receipt of application, The files <br /> will bei held for a maximum of five business days for review. Appointments should bo scheduled <br /> accordingly. <br /> 3. A file that is actively teeing worked on by EHD staff may not be Immediately avallable 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 EHO staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a 578.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must lee confirmed with EH❑ 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 /> Eli 09 14 almsmo "- - <br />