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T0'd 1tJ1IIl..,, <br /> �I SAN JOAQUIN COUNTYPUPLIC HEALTH SERVICES 4 <br /> MAR 0 8 2001 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER_AVENUE,THIRD FLOOR <br /> i <br /> NV I ku P+ 1 I ALT H sTOCKTON CA 93202 <br /> pF ,� °.,,,i, k ` (209)468-3420 <br /> �` PUBLIC RECORDS RELEASE APPLICATION <br /> A FL`VI�`{ h1[ 01 j <br /> F 9USINESSIAGENCY Q ' !�•-� <br /> ''�.,�OyaEs55a5Z [�ttllE>�c,a� c[Qc�E (oiJcoQ,_ �I�lSZ� <br /> { *.� PHONE FACSIMILE 415- <br /> TENTATIVE-APPOINTMENT DA-f6 IlRecN F] TLME l0 Ah) rPj <br /> �j (Please give 7 to 1e bus[ness days from date at application suymlhall <br /> CHECK 80X70 ExPEDLTE REgUFST- o-FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS? <br /> /SIGNATURE OF APPLICANT PATE 3 a o I p <br /> FILE AApR655 THIS SIDE E4D STAFF USE ONLY , <br /> PROGRAM L-Fm4NTS SEARCH <br /> C n l of Lae, tw iE MER OF au RnwAT xf Lopl ra gL2Hf? <br /> roiq SO�M sareRn m s� Ivo 0 R[r,E yjy Lo3 m7vanZA <br /> [vr <br /> 131 Sony S !Na 51 Lu01 Cq g62Hu IUa+LeI uOuyTk[Ei W <br /> Nf $Ol UoR?I SNLU VS 5' o� 240 71 Lo II, t <br /> NFF 30] I FoJun2Y <br /> 0 Ze Su.i>\{ S r.0 R(E+ SS tori C4 6200 In, ,QOJ WQQV <br /> pi rl <br /> Lnj PAPplLir Ill 1, <br /> QL A nar[pie <br /> 2 t 3 <br /> UNOEtxGROUNO TAN <br /> (U.911 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UST1,CLEANUP SITE(LOP) 17 HOUSING AOATEWr lUJo IU,`Wr{ <br /> OTHER CLEANUP 51TE NON-LOA ❑ .�SOLID,WASTE FACILTrY <br /> ( ) FOODFACILITY <br /> o ��}NA$TEVpHICLE MAR 12 001 <br /> 'f UNDERGROUND TANK(MONITORING ❑ DOC KENNEL <br /> S-TIEREDHAZARER WASTE GENERATOR ❑ CHICKEN RANCH ❑ PIOR TMENT PLANT <br /> jam-TIEREDPERMITTEDFjN(; Y a <br /> O TEDICA I3ODYp FACILITY <br /> MOTEL/HOTEL ❑ PUMPER TRUCIVyARDICHELI TOILETS <br /> ❑ InED,CAt WASTE FACI1.17Y ❑ PUBLICWISPA D LAND USE APPLICATION Sn'ES <br /> ❑ <br /> PUBLIC WATER SYSTEM 4 OTHER(PLPASE SPECIFYADOVE) <br /> 9 List u p to ten addresses in the space above. Select the type($) of tiles from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected_ F to 209 A64 0 36 or mail to the <br /> address indicated above <br /> 2• &HD will nottfy the applicant if any EHV files exist. An appointment for review will be Confirmed <br /> approximately five business days but no later than ten (10) days after re10' t of app[Ication. The fires <br /> Will be held for a MaXiMUM of five business days for review. Appointmeht�Should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by END staff may not b® immea9 <br /> aPPI)cation may be submitted ately.available for review. Anew <br /> 4- A°Y file not retur when the file is releable. <br /> ned in the same condition as release@ will beFutreorganized p <br /> DE' y EtID staff at the expense <br /> f the applicant, ure fila reviews by the same applicant may require a U r.00 doposit prior to review. <br /> �• "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> E' Applications received after 3:00 pm will be procar-sed the next business dad. <br /> f <br /> CONFIRMED APPOINTMENT DATE <br /> TIME <br /> DATE CONFIRMED I <br /> PHONE FAX INITIALS <br /> REVIEWED YES NO `1r <br /> REVIEW DATE ` j <br /> TB'd 8 9Sz6T 01 WD?U� IIj5T:E0 T00Z-80-E0 <br />