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SAN JOAQUIN COUNTYPUBLIC HEALTH �`ucr'urau it <br /> &VIRONMENTAL HEALTH DIVISI. RVICES <br /> '704 EAST WEBER AVENUE, THIRD FLOOR V <br /> STOCKTONCA95202 �56 EXPIflICC <br /> (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT flCI4 ARD L. UAws O.--I BUSINESS/AGENCY &t_0-� <br /> �InSE E�v�R-owlr�v�rR� I N c , <br /> ADDRESS _Lal3 -7 \1¢,vAcWtwvi lk')c iSZ�t 0 ' AC) <br /> S35( <br /> PHONE `J( CZ-13 FACSIMILE aOn 6b9 QZ9 <br /> TENTATIVE'APPOINTMENT DATE "' ti0007 00/065 <br /> Please TIME <br /> ( Oive 7 l0 10 business days trom date of application submittal) • <br /> rece <br /> © CHECK BOX TO EXPEDITE REQUEST-$78.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS MAR - <br /> SIGNATURE OF APPLICANT' � 1q�„)3 DATE 0307/00 <br /> 10 FILE ADDRESS <br /> V SWIFT AnI rP'n 1Fi15ww-T I -MIP�lrawn ooi,/e <br /> r�cis sgst� Zn w C44Q_17C�9- w <br /> V G7�OMHUITUSCd.NA 144 S.tiIkvl1JtJ4 — O <br /> �nctv.rr t�tar zAIV I=A2M s III. r .'v T712rV47- <br /> D£�QL'-raVGKSTVP Idol or toti • <br /> � �'R_nnls•M•.=_.�.IorJ � ft-'515 W. GNC4 O <br /> 'Ail Ll{ <br /> z Jr n sTfar. rr� �� ra- c3zs NAVY OWvC ter Ut �- <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> W OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ <br /> ® SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ <br /> ® HAZARDOUS WASTE GENERATOR 13 CHICKEN <br /> ❑ ClIERED PERMITTED FACILITYHICKEN RANCH PKG TREATMENT PLANT <br /> Cl❑ MOTELIHOTEL <br /> TATTOO/BODY CI C3 PUMPER TRUCK/YARD/CHEM TOILETS <br /> LI MEDICAL WASTEE FACILITY❑ ❑ POOL/SPA Cl LAND USE APPLICATION SITES <br /> CILLITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List 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 One file type MUST be Selected. Fax to (209) 464-0138or mail to the <br /> address indicated above <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available 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 EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $78.00 deposit prior to review. <br /> 5_ "TENTATIVE appointment dates must be confirmed with EHD 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 <br /> INITIALS <br /> REVIEWEovoa D YES NO REVIEW DATE <br /> EN 00 ra ov <br />