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10-25-2201 29:14"1 <br /> WSAN JUIN COUNTYPUBLIC HEALTH SEALS <br /> l3i,1l Z LIGE EiNVIRONMENTAL HEALTH DIVISION <br /> i 04 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 06202 <br /> (209)488.9420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 1(AP►LICA})T ULde PHONE BUSINESS/AGEN <br /> C <br /> Y <br /> ADDRES4 A ) Aa -Fp4Z�,vDL�14/ P /i!ft�+ -LJ <br /> : <br /> i -7V 4- 1? <br /> 2-4; 12 L$ rAG5I1AILE �� ZI <br /> TENTATIVE"APPOINTMENT DATE 1/lj-�nj TUM /0. �p cY {�( •Stq <br /> r�1 I (r3aato D{v4 r.to�J uu nr�a dyrys-Aran date d si+Niaativn aubmWrt} <br /> 1L4L.gg <br /> •t� .�u�"LtYi`_c� <br /> I--I CHF{.I(60x TO EXptiD1TE RE ESY- 7.00 FEE- - OCESSED IN I EUSINESS DAYS /1 <br /> --S{GNAIP RE OF APPLICANT DATE O 2-V <br /> FILO ADDR SS THIB SWE t:HO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> I 1 <br /> 1 <br /> 7 , <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> - UNDt IYGKOUND TANK(U$T)GLHANUP SITS(LOP) 0 HOUSWCABATEMENT ZOLIO WASTE FACILITY <br /> OTHER CLENIUP SITE(NON.LOP) �L 0 FOOD FACILITY t3 SOLID WASTE VEHICLE <br /> unU6ftGKOVNO TANK 114ONITORING)REIVOVAL) ❑ DOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR b CHICMN RANCH 0 PKC TREATMENT PLANT <br /> O TIERlqq PEKbUTTEn FACILITY O MOTEiIKOTEL d PUMPEKTRUCKlYARWCHEM TUILETS <br /> ❑ TAT70Gl900Y PEUtCING ! q POOWPA O LAND USE APPLICATION SEMS <br /> 0 Muoicl wAZT6 FACAWTY O PUBLIC WATER SYSTEM O OTHER(PLEASE SAECWy ABOVE*) <br /> 1- List up to len addressee Ill the apace above. Select the typs(a)of files from the list above by checking <br /> the opproprlate bOx(isj, At;least one Ills type MUST be Selected. FIX.to(209)464-0138 or cUAff'ift31R <br /> aiidresc Irldicallo4 above ' <br /> 2. I EMU will notify the appflcaA1 if any EHD files exlst. An appoinbnant for review will be confirmed <br /> approximately five bu3)nea6 days but fIC laterthan ten(10)days after fecelpt of appilcatiort. Tne files <br /> j will be held for a maximum of live buainesa days for review. Appointments should be scheduled <br /> ; <br /> according ty. <br /> 3, li A file that is actively being worked an by EHD staff may not be immediately available for rovlew. Anew <br /> application may be suorawd when (halite Is avallable. <br /> 41 Any file not returned in the time condlgon as released Will b6 raurganizad by EHO Staff at the expenw <br /> of the applicant Future file 3evisws by the same applicant may require a$37.00 deposit prior to reviaw. <br /> 5. 'TENTATIVE appointment dates must be confirmed with ENO shalt, <br /> B. Applications receiYsd after 3 00 pm will be procossed the nextbualne:s day. <br /> CONFIRMED APPOINTMEf1T DATE TIME <br /> i <br /> PATE CONFIRMED PHONE FAX INITIALS <br /> REVIEW! D YES NO REVIEW DATE' <br />