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9 <br />081,33AM FFC 1 431E i421Q9 <br />SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICE$ <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />(209) 488.3420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />:g -n nZL a TQC, r l BUSINESSIAGENCY <br />TENTATIVE' APPOINTMENT <br />., <br />Io"" m",41,82" <br />east <br />CHjC,hcj Fo j:X% &A EST • $$T.00 FEE-REOUEST PROLUSE0 IN 3 BUSINESS DAYS <br />OF APPLICANT DATE <br />r.. <br />T-2 <br />ELEMENTS sEARCH , <br />I � �+ Z, 3r �—F <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />UNMRGROUND TANK (VST) CLEANUP SITE (LOP) <br />❑ HOUSING ABATEMENT <br />d FOOD FACILITY <br />SOLID WASTE ILITY <br />D SOLID WASTE FAC <br />VEHICLE <br />OYHI:R CLEANUP SRB (NON -FACILITY <br />..uN=RGROUND TANK(MONITORINCIREMOVAL) <br />D DOCKENNEL <br />0 CHICKEN RANCH <br />0 DAIRY <br />ji PKC TREATMENT PLANT <br />KA.ZARDOUS WASTE GENERATOR <br />ill'I(ED PERMITTED FACILITY <br />0 MOTEL/HOTEL ,,. <br />' <br />14 PUMPER TRVCKYARDAC EM TOILETS <br />)t( LAND USE APPLICATION fna <br />TAfTOCVBOOYP£iRCING <br />MIz7iCAL WASTE FACILITY <br />0 POOLISPA <br />jQ PUBLIC WATER SYSTEM <br />O OTHER (PLEASE SPEC ABOVE) <br />List up to ten addresses In the space above. Select the type(s) of files from the list above �y checking <br />the appropriate box(es). At least one Tile type MUST be selected. to rzQg) 4fi4.0138 or mall to the <br />rg,5h (mated above, <br />fHD will notify the applicant if any EHD filar exist. An appointment far review will be can!(rmed <br />approximately five business days but no later than ten (10) days after receipt of applicatiotl. The files <br />"I be held for a maximum of five business days for review. Appointtnente should be scheduled <br />acdrrdingty. <br />Afite that is actively being worked on by EHD staff may not be Immediately available for 4vlew. A new <br />appile%tion may be submitted when the file is available. I <br />Any foe not returned In the same condition as released win be reorganized by EHD staff at the expense <br />of the applicant. Future file reviews by the same applicant may require a S157,00 deposit pilor to review. <br />'TENTA'i;VE appointment dates must be confirmed with EHD staff. I <br />Applleatfis,Is received after 3:00 pm will be processed the next business day. <br />'CONFIRMED APPOtAITMENT DATE TIME <br />DATE CONFIRMED PHONE FAX <br />nm ur.,r_n v�. un oc�nr-w nnTa' <br />fNtTrAL3 <br />