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01 03/ 003 15:16 454013a EM/TROMMENTAL H�_pLI H <br /> �,- - ` .-� � eu��4er.�nnuach <br /> rb_AE�� � JOAQUIN COUNTYPUBLIC HEALTH SERVICES � <br /> ENVIRONMENTAL. HEALTH DIVISION <br /> 6 3D4 aAST WEER AVENUE~THIRD FLOOR <br /> jl l i f i „; 2 O`J VOCKTON CA 96202 <br /> (209) 468-3420 <br /> F iiUBLIC RECORDS RELEASE APPLICATION <br /> PLIC I C;,E L.L. t-N i BUSINESSUAGENCY A Z <br /> DRE- s ZGab CAMtWc T> 0 13L.QIT —_'- CD <br /> QNe X1 FA8$1MILE <br /> TENTATI "APPOIMMGNT DATE ,At)c ' 2 O TIME I 00 T'!r•1 <br /> (Plaaao olvo 1 1d 1b buskmsm d1+yn,frem date of appttcatlon submittal) <br /> LIA ECK BOX TO EX DM REQUEST^$89.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> *S GN URE OF AP LICA t7AT1= _ - 23 CJS <br /> FILE AOORESS THIS SIDE END STAFF USP_ONLY <br /> PROGRAM ELEMEN7Z SEARC G� <br /> Li n G Pp?d <br /> Line- F-mad f-1 W <br /> -t- L;ne, <br /> .�d <br /> i r <br /> i <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNGROUNa*At,K(UST)CLEANUP SITE(LOP) ElHOUSING ABATEMENT 11SOLID WASTi_FACRM ' <br /> oTH CLEANUPS SOLID WASTE❑ FOOD FACILITY Q SOLWASTE VEHICLE <br /> UN �GRO(ikD to K(MOfQtTORINGIREMOvA-I 13 00r,KENNEL, b IDAIRY. <br /> US WASTE GtNCRATOR 0 CHtCXEN RANCH 0 PKG TREATMENT PLANT <br /> 'nEF 0 PERMTTrOD AGIt rr•Y 0 Md 040TEL 10 PUMPER TRUCKtTARDICKEM T01LCT$ ob <br /> TA OMODY PSIR ENO t] POOLMPA ❑ LANO USI;APPLICATION SrTLS <br /> MEE 16AL WASTE FA tLITY % ❑ OTHER(PLEASE SPGCIFT AS0VEI <br /> I <br /> 1 List Up to n addresses In the space above. Seloct the Vpe(s) of files from the list above by chockin NO <br /> the appro rlatc box(es). At ICast ant Elle type MUST bo solacted. Fax to_{209}464-0139 or mall to the <br /> •� address i dieted above. - <br /> EHD will rt tify the appilaalnt it any EHL?files exist. An appointment for roviow will be confirmed <br /> approxim tiny five businosS days buk no later than taxi-(10)days attar roceipt.of application. The files <br /> will bn hal I for a maximum of five business days for review. Appointments should be schedulad <br /> according y. <br /> A file that Is..Ictlyely being worked on by F-HO staff nay not be immediately available For review. A n <br /> applicatlo m;ty be.submittud when the fila Is available. <br /> A Any fila nc t rab reed ih tho same condition as released will b2 reorganized by EHD stdfr at the expon <br /> of the app scant. Future file roviows by the Barrio applicant may require a$89.00 deposit prior to revlc <br /> 5 ."TENTAT appointmetlt dates must be confirmed with EHD staff, <br /> . 9 Applications received after 3:00 pm will be processed the next business day. <br /> ON IRMED APPOINTMENT DATE. TIME , <br /> 1�4TE CONFIRMED PHONE FAX INmAt_S <br /> ED YES NO REVIEW DATE <br /> ni. Y7 fSj F �' <br />