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08:33AM FRO TQ 15JL1C4�1N`.t; f' alfa 4 <br /> MDLOONUMUR <br /> t~. t SAN dOAQUIN COUNTYFUBLIC HEALTH SERVICES 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR { { <br /> STOCKTON CA 95202 II <br /> (209)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION h <br /> �—ynu laCl�sU51NE8SIAGENCY 'f10V'C •�111/� V'L��"L� rte"''" ,) n <br /> 's LICANT_ <br /> : yRES3 <br /> if p}ipNE ��•�—FACS1MlL6 - <br /> 0� TIM y-o0 <br /> Emi� TENTATIVE*APPOINTMENT DATE q <br /> PR <br /> ease give tP 10 usineas da Irani deto of epPl`ul' subrnU4a0 <br /> ' .: <br /> ' CNECI IiO Q E EbiT R[� EST•587.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS _ <br /> i, DATE 9 1a0 <br /> r` 'GNATUREOFAPPLICANT <br /> FILE ADDR;=S$ THIS SIDE Un STAFF USE 7ONLY4, <br /> PROGRAM ELEMENTS SEARCH <br /> 5 1'ctar Rte( GA 95z•(a 2 `J27 <br /> t. L'i f ✓ of s i I <br /> ' (Titer 1n Z <br /> !J j O - 1 L 0, + 2 <br /> a 9/(0 Lac kefor Lo iltl n ter_ J <br /> �I Of. SSG 'V • Lor-11 <br /> r <br /> 4- I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> D WASTE FACILITY <br /> PliDE-RGROUND TANK(VST)CLEANUP SITE(LOP) F006IFACILNYNG EMpNT O 6010.10 WASTE VEHICLE <br /> OTHER CLEANUP SrT6(NON-LOP) 0 DAIRY <br /> ,,.UNDERGROUNDTANA(MONITORINGIREmgvAL) COG KENNEL <br /> y� pKgTREA7MENTPLANT <br /> t1AZpRDOU6 WASTE GENERATOR Q NICTFLIHOTEL PUMPER TRUCKlYARWCI1CM TOILETS <br /> T[ RED PF-RMITTED FACILITY 0 POOU3PA .. , LAND USE APPLICATION lite <br /> TA(700l6O0YP£IRCING 0 OTHER(PLEASE SPECIFYAUOVE) <br /> M�OiCAL WASTE FACILITY APUBLIC WATER SYSTEM <br /> List up to ten addresses in the Space above. Select the type(S)of files from the list above py checking <br /> the approprlate box(es). At least Ono file type MUST be selected. Faglof ffiA0_0ALQr4�RAlUQJb1 <br /> address Indicted abav� <br /> 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 tan (10) days atter receipt of applfcaGo�. The thea <br /> will beheld for a maximum of five business days for review. Appointments should be scheduled <br /> 1'�y ecivtdingiy. <br /> A file that is actively being worked on by EHD staff may not be immediately available for rvlew. Anew <br /> appile-tion may be submitted when the file is avallable. 1 <br /> ,: I' Any tile not returned in the same condition as releaaed will be reorganiSvd by EHQ staff at the expense <br /> of the applicant. Future Elie reviews by the same applicant may require a$87,00 deposit pfior to review. <br /> 1' *TENTH i,IVE appointment dates must be confirmed with EHD staff. I <br /> Appllcatt&,is received after 3:00 pm will bC processed the next business day. <br /> 'CONFIRMEDAPPO(LITMENTDATE 'TIME <br /> DATE <br /> DATE CONFIRMED PHONE FAX tNfTfA4S _ <br /> ' nm prl�•rn vrc. un OG10FW IlnTr1 <br /> I <br />