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I.IV I.l•I.+IUI�LLI: <br /> SAN .JLAQUIN COUN`TYPUSLIC HEALTH Sr-RVIOES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 FAST WEBER.AVENUE,TMR0 FLOOR <br /> STOCKTON CA 95202 <br /> (209) 4683420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> :APPLECAh7 ! RWiNESSIAGENCY <br /> PHONE �l'.a r� Y FAC9WtLL <br /> i <br /> TEiJTpI 1VE'APPO1N7tri aT DATE (p� Time 0J) <br /> {P�ca�n�i.c 7 eo yo businsss days from Gate of applic�ilp�SuM>�1�iAI) <br /> G`I�GK BOX TO ExPEArCE REQuEs; ,UQ FF! -REQ ST PROCESSED IN 3 8UStNE55 DAYS <br /> -51GNA%PE OF APPLICAN T DATE .� <br /> FILE ADDRESS Tails SIDE EHO STAFF USE ONLY <br /> PwRGRAM LLZMrMT5 SCARCH <br /> Qa r rd r-Z3 50 _ <br /> iyw <br /> iY <br /> �7 Lb <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST) CLEANU,I'5TE(LOP) ❑ HQUSING AaATLMENT p�SOLID WASTE FACILITY <br /> OTHER CLEANUP SfT4>T UK-LOP) C FOOT}PAGILITY SQLID WASTE VEHICLE <br /> UNDERGROUND TANK 10 QQG KENNEL d QA)KY <br /> HATAADVUS WASTE GF-NERATOR L1 CHICKEN RANCH d PKGTREATMENTPLANT <br /> ­TIERED PcRM1Trt D FACILITY ❑ MOTELIHOTEL 0 PUMPER TRUCK/YARDICHEN:701L.ETG <br /> D. 7A'ITQQIBGDY PE(RC4iG 0 POOVSPA - ❑ LAND Ll5EAYFLICAT{ON SITES <br /> Q P.BEDtCA.LWA$TI=FAClLI Y 10 PUBLIC WATER 3Y&TF-U 0 OTVWR(PLEASE UPECIFYABOVE) <br /> 't. Li,t up to ten a[lCrasseS in the spaco above. Select the type(s) Of flys from tl1Q IIsi`above Gy chcCkin$ <br /> the appropriate box(es)_'At[east one fife type MUST ba selected, Fax to (205) 464-0736 or rnai(to Tho <br /> �cfdres.s indicated abpve! <br /> 2- EHO will notify the appllcant if any E JD riles exist. An appointment for rev'jaw will be cantirmad <br /> approximately five busir;'pss days but no later than ten f90)days after recalpi Of appiication, -file tiles <br /> Will b® held for a maximum,of five business days for review. Appaiutrncnts should be schedulaci <br /> accordingly. <br /> 3. A fila that is RQUYaly baing workcc on by EHO staff may not ba immcdlately available for review, A new <br /> appliGatton may be subrril:ted When file file Ls availahl¢, <br /> 't. Any file not returned In t�a same condition as roicaasad will be reorganized t,y EHO staff at tho expense <br /> of the applicant Future file reviews by the same applicant may requirQ a$87M deposit prior to review. <br /> 5, 'TENTATIVE appointment dates mus'be canf rMed with END staff. <br /> 0. Applica}ons receiveo afier 3:00 pm will be processed Vio next business day, <br /> r <br /> 1 ' <br /> CONFIRMED APPOINTMENT DAl'1` TIME <br /> I <br /> ATE CQNFLRMED PHONE FAX INITIALS _ <br /> �t3llEWJ~t? YES Nd REY11:11Y DATE <br /> I)i ov U to <br /> TOTAL P.01 <br />