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v SAN JOA W IN COUNTYPUBLIC HEALTH SES{ <br /> I RONMENTAL HEALTH DIVISIOhIICES E"y soc e+umuei: <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 IZIAOL40 <br /> PUBLIC RECORDS RELEASE A <br /> APPLICANT-_ V'e" <br /> USINESS/AGENCY��C/pp� rD I <br /> ADDRESS t. / ��{/ <br /> S;cfa <br /> PHONE �� �`j G 2 <br /> C/�L 7 FACSIMILE LlC T 2 <br /> 3�51- <br /> TENTATIVE*APPOINTMENT DATE � C1 1 I C 7 Curly !Yl D• • iH 1 <br /> 2te : TIME 'E(V��i,l)I�1Vi�IVI t,LA�IN <br /> (P se Bive 7.., ,o busness days from date of application submittal)-TA <br /> • <br /> CHE XIJ S $89. E � <br /> !F PKOCE5ED IN 3 BUSINE _DA <br /> SIGNATURE OF APPLICANT �� I <br /> DA E G -Z� C L <br /> FILE ADDRESS - THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 1 <br /> J/' ENVIRONMENTAL HEALTH DIVISION FILES <br /> `G UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> -0-OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> da UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> , 3� AZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOO/BODY PEIRCING ❑ POOL/SPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ 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) 464-0138 or 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 $89.00 deposit prior to review. <br /> 5. <br /> *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 INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> n nF. nr <br />