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,.., .rr a 11V1 �e-.PCit�<1LµGC_i <br /> Ph"" E V E <br /> T -a -tuloi <br /> D•7F AECiw En ..� <br /> DEC 15 1999 S4N JOARUIN COUNTYPUBLIC HEALTH SERVICES EhD LOG W45eR <br /> ENVIRCiNMni, k-,L t-iLEAL.TH ENVIRONMENTAL HEALTH DIVlS1Oiq <br /> PERMIT / SERVICES 304 EAST WEBER AVENUE-TMRD FLOOR <br /> STOCKT'ON CA 952fl2 <br /> (209)4c4-342o <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> '�'ZIGINT Jas�� �z fi NV MZfNESWAGENCY G.r{F Tn C <br /> ADDRESS `Co s f•r J A f- <br /> FACSIMILE_ 2-V 82CIS' tj 7, Z— <br /> TENTATIVE'APPOINTMENT DATE r � + /�Q <br /> I TIME <br /> � <br /> ip �91�+�>to ZO tri�strceaa daSra from daft at application subrsutt {} <br /> C[tECK SOX TU EXPEDITE REQurtsT+jTB.UD FYEE—lq�gj=kT PigPJ 3!<D B <br /> y— a U�1tJE55 DAYS <br /> SIGNATURE OF APPLICANT 'J DATE r^ <br /> --r C `� I <br /> / FILE ADDRESS <br /> r <br /> 'm ` J,,--te <br /> L <br /> elktJvt CAP Ive L-01- <br /> 1 S. �7)1 <br /> _p <br /> _f 434 CA � <br /> ENVIRONMENTAL HEALTH DMSION FILES <br /> 0 6T.4F R c LEAN T/W t({IJST)CLEANUP STTE(LOP) O HOUSING ABATEMENT 6i1 SOLID WASTE FACILITY <br /> dTHESt CLFAI ILIP SITE(NON-LOP) ❑ FO00 FACILITY Q <br /> �. UNOERGROUND TANK(MONITORING�RE3lOVAL ❑ SDLJD WASTE VEmICLE <br /> 2. MtAZARDOU5 WASTE CENFUTOR l CI DOC KEI1f L 0 DAIRY <br /> O TIgRED PEftmn- 0 FACIUYYG>BGKEN RANCH PKG TREATRIENT PLANT <br /> Q' TATTOOIBADY PVIRCtNG C IMOTEU140TEL Q PUMPER TRuCMAR="emTO1LE7g <br /> C3 M£OICAL WASTE.FACILITY Cl POOUSPA Q L&ND USE APPLICATION SI'1ES- <br /> Q PUBLIC WATER SYSTEM Cl OTHER(PLEASI=SPECIFY ASOV�) <br /> 1. List UP to ten addresses in the space above. Select the types)of files from the list above by checking <br /> the appropriate bcx(ea). At least Oft@ fife type MUST be seleCW. Fax to 1209) 4"-0136 of rnall <br /> address indicated above. - to iho <br /> 2. EHD will notify the applicant if any FHO TiIES 4xist An appointment for review will be rnnfirm2tt <br /> approximately five bUSiT1*SS daYS W no later titan ten(10)days after race(p't of'appifaation. The files <br /> will be field for a maximum of five business days for review. Appointments sflould ba schetifulcd <br /> accordiTsgly. <br /> 3. A file that is actively beirtg worked on by EHD staff may not ba immediately available for review. A new <br /> applicatian may be sUhrnitttxd When the file is availabte_ <br /> a. Any file not rpturnod in the sem*Condition as released will be reorganized b END s <br /> of thO applicant. FtAure f;Ie reviews by the same applicant may r Y t at the o review. <br /> 5. 'T'ENTATIVE appointment dates must be confirmed y eyuir0 a�7$.Od deposit prior to roWicw. <br /> 6- ApplaCZ60ns received after 3:00 pyn will be processed the next business day. <br /> C-P E�JFt�r��yM'�r: d'���� a �L V�:��h} q'q �• ��t <br />