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Mo .5532 P . 2 <br /> Juo • 12 2004 t :02PM PJC NVIRO 209 .369 . 4226 r„o4�� �ER <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DMSION <br /> , '\„I� J 304 EAST wFB2R AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 �f <br /> 8 2004 (2D9)108-I 2O I <br /> JUN 1 PUBLIC RECORDS RELEASE APPLICATION <br /> IT” vat BUSINESSIACENCY nteil 0 �r � ' s°t� � �SS'ecc`u4fS <br /> AP I �S2y� <br /> ADDRESS 902- rr�US'�ri a\ \9!:y LOA \ q C A J cO <br /> PRONE 2� I -3 nj �� b I FA/CSIIAILE �C' / 3 6 t) I ZZ B <br /> TENTATIV'rAPPCJ14TMFNTDATE, 0L TUNE 8'OO/7 <br /> (Ploase Civa T to 10 business days from del*9f APPlicati Wbmttta0 <br /> CHECK BOX TO EXPEDITE REQUEST . 0 F' -R W ,PROCESSED IN 3 BUSINESS DAYS <br /> DATE OV! <br /> SIGNATURE OF APPLICANT 117:111EoLlO 2 H � <br /> SP ONLY <br /> IR.E ADDRESS TX13 SIDE EMO STAFF SEARCH <br /> ,4 oc c rbc 9 S Zo 5 5 Y CRAM(7 t71OM nd ST fdJ.:OnLj <br /> l70 Mar, O a j<P124 ' S 1 IV . <br /> X75NO /hurn• I/ <br /> O <br /> I <br /> 03 <br /> 5 ! <br /> AiL2 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(US <br /> CLEANUP SITE(LDP) ❑ HOUSING ABATEMENT OLID WASTE FACILITY <br /> �3 <br /> LB-.OTHER CLEANUP SITE(NON-4.017) tl FOOD FACILITY SOLID WASTE VEHICLE <br /> � L) O UNDEROROUND TANK DOG KENNEL CO DAIRY <br /> ❑ CHICKEN RANCH O PKO TREATMENT PLANT <br /> l�-XAZAROOUS WASTE OE7lERATOR l7 M9TELMOTEL 0 pUMPER TRUCK�YA.RD/CHEM TOILETS <br /> TIERED PERma-mo FACILITY ❑ POOLJSPATELIHO C3 LAND USE APPLICATION SrES <br /> ❑ TATTDOL WAS PF]RC ILI M PUBLIC WATER SYSTEM tl OTHER(PLEASE SPECIFY ABOVE) <br /> tl MLDICAL WAST6 FACILITY <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(ec). At least one fila type MUST be WOCtad, Fax to (20914041.0138 or mall to The <br /> �AdfaSe inAleated above. <br /> 2 END will notify the applicant it any EHD files exist. An appointment for review will be confirmed <br /> foes <br /> approximately five business d but no later than ten(10)days after receipt or app <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 th0 Tito 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. 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 />