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SAN JC :.UIN COUNTYPUBUC HEALTH SW ZES <br /> _ ENVIRONMENTAL HEALTH DIVISION � y� <br /> 7 304 EAST WEBER AVENUE,�HIRD FLOOR C� <br /> STOCKTON CA 95202 <br /> J�f (209)"8-3420 <br /> pus LIC RECORDS RELEASE APPLICATION <br /> I <br /> APPLICANT SUS1NESSIAGENGY �+ <br /> ADDRESS 410 Lf <br /> /� o / <br /> f+r�d <br /> PH(7NE � 4 FACSIMILE +�`. <br /> I <br /> TENTATIVE"AFMINTMLNT DATE ey, TIME _10,000 <br /> r 0 <br /> (Plcoxm aIve 7 to 10 bminass y;from data of application submMat) <br /> GHF";GX BOX TO EXPEOSTE REQUE - 7n.0t)PIEE-1kr=QU—T ROCi=53 0 IN 3 BUSINESS DAYS <br /> iGNATUi E OF APPLICANT DAT <br /> I <br /> FILE ADURESS <br /> , 460 ImI <br /> I <br /> L... ff �X-i/ <br /> j I <br /> D + 1C,) i I <br /> D,5- <br /> t� <br /> I <br /> IENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK JUST)CLEANUP WftE(LOP) 0 HOUSING ABATEMENT Cl SOLID WASIV FACILITY <br /> OTHER CLEANUP SrM(NON-LOP) 0 I=000 FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITCRINGIREMOVAL) CI DOG KENNEL ❑ 13AIRY <br /> HAZARDOUS WASTE GENERATOR M CHICKEN RANCH CT PKG TREATMENT PLANT <br /> 11ERED PERMITrEl3 PACII..ITY MOTE1.1iOTT1 a PUMPER TRUGK1YARD1CHEM TOILETS <br /> ❑ TAT rco many PkINCING Ci POOU2PA o LAND USE APPLICATION SITES <br /> Q MEDICAL WASTE FACILITY E3 PUMAC WATER SY TEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1- List up to ten addresses in the space above. Select the type(s)of files from the list above by chef cking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0135 pr mail to the <br /> addresaindicated above. <br /> 2. EHO will notify the applicant if any END files exist. An appointment for review will be confirmed <br /> approximately five businas.s clays but no later than ten(10)days after Ire-ceipt of application. The tiles <br /> will be held for a maximum of five buslness days for review. Appointments should he scheduled - <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immediately avallable-for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHO staff at the expense <br /> of tho applicant. Future fife reviews by the same applicant may require a$78.00 deposit prior to Ireview. <br /> 5. *TENTATIVE appointment dates murst be Gonfirrnad with EHD staff. <br /> 6_ Applications received after 3:4G pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED � PHONE FAX INITIALS <br /> REVIEWED YES NO k IEW DATE _ <br /> EK 00 is oira.+roo <br />