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I - _ <br /> 06-14-2� ii,-e :23W F To I ,'145434723 P-01 <br /> SAN JOAQUIN COUNTYPUBLIC i-IEALTH�SERYICES <br /> AUG 1 4'N01 ENVIRONMENTAL H>`wL fN DIVISION <br /> 304 LAST WEBER AVENUE,THIRD FLOOR <br /> ENVIPIAd E� ;; :'t STOCKTON CA 9s20z <br /> (209)468-3420 <br /> PERMITi'iE ''v''i ' 5 PUBLIC RECORDSRELEASE APk ICATION <br /> 4 APPLICANTL� y-E- K O w DUSIPiIfSS1AGENCY p+� loc. <br /> AADDRESS -1_w_k(D E, "Y iyREF'i" L _RJ '�j� <br /> Pt1ONE rACSWILE Ict) j 1 4 1- <br /> I <br /> 1 TI V F-*APPothITMCNT DATE FRll}C• 2,jp J T QC Or, <br /> (Plea;c:vivo 7 to 10 bu.irlcsr.nays from tato al s 1A41-atian su4m1Kol) <br /> ClItCK 0()X TO.LKPEDrE REQUEST'•X117.00 FCCRZOUESTPROCLSSE0 IM 3 I3U$INC5S GAYS <br /> 5[GfEAURE OF APPLICANT DATE Avg. ltA, 7- <br /> I FILE ADDRESS TIPS SIUE ENO SfiAt=F USE OKLY <br /> ' P,ttOCitAM tcLL'Iint::NCS 51,iARC3t <br /> 4 35, e D `m= <br /> 77 <br /> UAL <br /> 52 <br /> o ; <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> h <br /> �Q VNOt RGROUNQ TARK(UST)CLEANUA;517a(t,UP) !J MOUSING AIDAYCIdENT SOLIOWASIE FACIi IY <br /> i� <br /> OTHER CLL-ANUPSITE(NON-LOP) 0 FOOD FACLUTY 11,0 SOODWASTE VEIncLe <br /> UND] RGROUNO TANK(MONITORINGIPEMOYAL) ❑ DOG KF-SNEL �❑ IMAY <br /> Att <br /> NAZt7Du5 WASTE GENERATOR ❑ C14ICKFK RANCH `,Ct PKG TREA7MeNY PLAKT <br /> ❑ TIEiZ DaeRaal7TCDFl0.CltJTY ❑ MOTEUFIOTEt O pUMPEKTKIf4KlYARDIGHLM17YOILE'T5 <br /> C] TATTiG=00Y PIiiRClt1G Cl.POOUSPA -',❑ LANG USE APPUCATlVN SITZ=S <br /> D MEOi ALWAST9FACI4tTY Q PUBLIC WATER SYSTEM ❑ amlERfmcmr-sp1:C1fYAROVEJ <br /> a <br /> 1- ! List up to ten addresses in dle space above. SelocitllQ types)af1fi1a5 frorp the list abgvc by ChcCiung <br /> I .the appropriate box{es). At Icdst ince file type MUST be selacted. I_i=ax to(209)464-01$8 or mail to the <br /> I address indIg4jtSLjjbovc. <br /> 2• EHFJ will notify the applicant if any EMIL files exist. All appointment for reFvicw will be conlirmcd <br /> approxin-kately five businoss days but no laterthan ten(10)days after rscoipt of applicailon.-Tile files <br /> will be Hold for a maximum of five business days for reviaw. Appointments Should be scheduled <br /> � �ccatCingly. ,I <br /> 3. A the that is 2c1iY0ly laeing worked on by F-140 Staff may not be immcdiate,fy avail-lblD for FCViUw. A new <br /> application MO)r I)c subrnittcd whan.tlle fila is available. <br /> 4. I Any file not returned in the sumo condition as released W111 be raorginizua;t by CHID staff at the expenSe I <br /> Of 1110 applicant. FutZIM file reviews by the Sams applicant=y require a$87.00 deposit prior to reyloW. <br /> 5• I TC-NTATIVE appg!Atn,ent�dates must be Confirmed with t:H❑staff! <br /> 6. Applications rt ce[vvd atter 3;170 pm will be processed the next'buMness day. <br /> M <br /> .I <br /> CONF1RMED APPOINTMENT DAL TL TIME; <br /> DATE CONFIRMED PRONE FAA I INITIALS <br /> REVIEWED YES NO REVIEW OATC- <br /> T©TAL P.611 <br /> .I <br />