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TO <br /> SAN <br /> ,I' ?145434723 P.01 <br /> :2r3f�M Fk <br /> SAN JOAQUIN COUNTYPUB(-!C HEAI_.TH.SERVICES <br /> AUG �. �:��U(11 ENVlR41VMENTAL liEAI.TH D[V[S[ON <br /> 304 CAST WEBER AVENUE,-CHIRD FLOOR d C� � <br />+ .i STOCISTON CA 95202 i <br /> ENVIP,OWVI' I-,--' ' .. (209)468-3420 ;, <br /> PEF,fiJ 1 �EF,`�AUL PUBLIC RECORDS RELEASE APPLICATION <br /> -- <br /> APPLICANT <br /> { <br /> LauSiNESSIAGrNCY CA <br /> � - q .�1I <br /> ADDRESS. t - <br /> PfIC}NC _ E=AC$IMILE- <br /> TI V C'AAPOiMTMt3HT DATE t X,&+`" !at C)o - l IMG 4r' <br /> (Ftcasc:!)iye 7 la ill bu.irlcsc days from data of 3Pl)111;46on nubn+ittoll <br /> CZ1t-:CK DOX TO,EXPEOITE REQUEST-*87-00 FK-REQULST FROM=IM 3 RUSIN[SS MAYS <br /> ` F <br /> SIGNATURET <br /> T OF APPLICANT DATE Avg. ]�1, 2t� <br /> ' -- <br /> It <br /> F14E ADDRESS 71415 510E FHO 3 A1 FtzE ONLY <br /> 6 P ROG9AM Llliitlk_N f 5 SEARClt <br /> i <br /> � I Q <br /> i -CA <br /> a 21 2d X95.2 rrU. <br /> i 3SA7 c d rI <br /> # 6 _ao CQ ff1C- <br /> ! d,- <br /> + +I <br /> I. ENVIRONMENTAL HEALTH DIVISION FILES <br /> VHt)RGROUND TANK(UST)CLEANUP:S17E(LOP) O HOUSLNG ADA7EHF.EIT :! K SOLID WASTE FACII-nT? <br /> i OTH41KCLL-ANUP SITE JI+ION•LOPJ O FOOD FACUUYY 0 SOLID WASTE YrnucLE <br /> UNDirRGRAUND TANK(MONITORING(MMOVAt.) a DOG KERNEL '� O 13AtRY <br /> HAXAADOUS WASTE GENERATOR U CHICKFIf R"CA 0 Ma TREAlugNY PLANT <br /> 0 TIC R"PCRW17TCDFACILMY 0 MOTELMOTEL j'I 0 P6MPFMTKUCIUYARUfr-ftMIOILk7S <br /> d TATTOCNI100Y FARCING 0 POOUSPA i 13 tf►ND USE APPUCATiON SITES <br /> Q MEDT AL vvASTI`FACILITY Q PUBLIC WATER SYSTEM s O OTHER(P1.t`.Asr-sP£Cir•YABOVEJ <br /> +I 1. ! List up to ten addresses in tale space above. Seliact tho type(s)of files from the list above by ch"king <br /> j tfic appropriate box(as). At(east one fits:type MUST be zulacled. Fax to 209 464-01 8 r mail IQ the <br /> I andress_indir t tabove. <br /> 2. EHU will notify the applicant if any EHD files exist. An appointment forrcviow will be confifmcd <br /> approximately five businoss clays but no tater than ten(10)days after rsc®ipt of applicaVon.,Tlto files <br /> will be hold for;k maximum of five business days for review. Appoint6 nts sltould be sctledutect <br /> Accordingly. I <br /> 3. A flit that is actiYoly ucintg worker]on by EH7 staff may not be isnfnediately available for rcvferv. A new <br /> i APPIlCation may be subMittcu Whan.the file IS available. <br /> k. [ Any fife not returned in the samn condition as released wIR be rcorUanUaci by EMU staff It the IDX'panse <br /> Of the applicant. Future fill:reviews by the Santa applicant=y`irequireja$87.00 dtlposit prior to review. <br /> S. I •TI.NTATIVE appaintmenv.dal�s must be confirmed with END staff. <br /> G. A Ur-ations,received after 3:00 pm will be processed the nlaxUbusiness day. <br /> CONFIMMED APPOINTMENT DATE _.. .._. _ , TiME:� <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEllvF-D YES NO REVIEW nasi` ~ <br /> TOTAL P-01 <br /> l <br /> t <br /> a <br />