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i�+e9��tFxt FA TO 0145434723 111.01 <br /> 1( Dela <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH 5ERVIGES <br /> AUG Z 4.LUU1 ENVIRONMENTAL HEALTH DIVISION <br /> 304 RAST WEDER AVENUE,THIRD FLOOR CJ <br /> STOCKTON CA 95202 <br /> ENVIPONNI (209)468.3420 <br /> P[RMI7iEF( <br /> ('Lb PUBLIC RECORDS RELEASE APPLICATION <br /> ••�� 6 <br /> APPLICANT LUKE MDNTAC�V BUSINErS�SIAGENCY GtDf,K. IffRITMr l(+A)�C- q -1 <br /> ADDRESS tpiw E L•� 9TPZE7 Lin 2� 9k\gA ANA CA S 2'}0l <br /> rr 1a <br /> P(IONF.4, 3— t rACSIIMMILLE <br /> TI V E'APPOINTMENT DATE I R-�. / ��+• 1 , f TunC Or' <br /> (Plcaroj VL 7 to 10 bosidosc Wys frmn data el appdCaOan saUmlRol} <br /> ' CHICK DOX TO,EXPEOrm REQUEST--S07-00 FEE—REQUL•ST PROCESSED IN 311USMESS DAYS <br /> SIGNATURE OF APPLICANT �,�� �aati t aIr DATE Avg• <br /> r <br /> FILE ADDRESS TIIIS SNE END StAPF USE ONLY <br /> PROGRAM ELE'MEN rS SFARC)l ' <br /> X960 <br /> I �2 S -2960 `�- <br /> � <br /> .2. rH <br /> 21 Zo 2515-2- <br /> .3 <br /> 95.3 7 <br /> I TJ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> VNI)OGROUND TANK(UST)CLEANUP;SITE(LOP) D HOUSING AOATeNENT X SCI WASTE FACILITY <br /> OTX4R CLEANUP SITE(MON-LOP) D FOOD FACILITY O SOLIo WASTE vEI I1cLE <br /> UND�RGRAUNOTANK{MONITORINCIREMOVAL) D DOG KENNEL D D"y <br /> NAZAROCUS WASTE GENERATOR U CIACKFURANCH 0 PNOTREATMENYPLANT <br /> 0 TIER"PERMITTED FACILITY O MOTEUHOTEL O PUMPEK TRUCKIYARMHEM TOQ.ETS <br /> D TATTOOIROOY PdIRCING ❑ POOUSPA 1 D LAND USE APPLICATION SITES <br /> D MEDICAL WASTE FACILITY O PUBLIC WATER SYSTEM O DTHER(PLEASE SPECIFY AUDVE) <br /> 9. ! 'List up to ten addresses In the space above. Select the type(s)of tiles from the list above by clucking <br /> j the appropriate box(es). At least one file type MUST be st:(ected. Fax to(209)464-0738 or mail to IhE <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 buslnoss days but no laterthan ton(TO)days after receipt of application. Tile files <br /> I will be held for a maximum of five business days for review, Appointments should be scheduled <br /> accordingly. <br /> 3. iA file that is actively being worked on by EHD staff may not be immediately avolabie for review. A neW <br /> application may be submitted when the file is available. <br /> 4. I Any fife not returned in mo Sarno cooditioll as rcleascd will be rcorpanuod by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> 5. 1 -TENTATIVE appaintinent:dates ITIU31 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 �I1I11 <br /> DATE GONFIRr4F0 _ PHONE FAX INITIALS _ I <br /> REVIEWED YES NO REVIEW OATF TOTFL r1.01 <br />