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u,, r ;E ✓�:i�r �( (SA.N JOAQUIN COUNTY <br />Fi-i'VfR..ONMENTA.L .ALTRI)EFAaTDIENT <br />304 E Ave 3TC Floor Stockton, i'A 95205 <br />SFP I 465,3420 Fax: (209) 464-01.38 Web: ,�.u�r.co.sart joy uit>.ca.li�/cl?. <br />ENVIRONMENT HEAL <br />DCn nL A f r..k..-.►._. <br />15 P;i .rl`V 7 <br />:gL7?�1�CFSS: <br />'F1TT3 1 RECORDS RELEASE AP.FLK CA TIO'° <br />EHiJ '.C7 I`ll.,"A5F7, <br />BUSINESS/AGENCY; KJJS.L <br />Psi-- <br />� F <br />�NTA'i IVE' ".P?()44—HENT DATE: .___. ante: C�_ <br />iFleass allow 10 tVSingss days from date of a <br />ul-;ErK 94Q TO EXP Fr,I-rc RinQuEuT . s53.00 FE E - resbau>=sr pROC >;ssSo mv_. <br />D <br />;: IQNAT'JR� 0� APPLl ANT —SEP 2 2 <br />DeDelr'.= erni Ust^ Only <br />ENIVIFONMENTAI_ HEALTH UEPAI�TVF=NT FILES <br />UNIT <br />[uni; 1 <br />Ej vn!:2 <br />r. <br />IJrlit 4 <br />Unit 5 <br />1_INDER,4"i OUND TXNK!,UST) CLVANU? SiTE (LOP) X HOUSING Ae-AiEMENT G SVLIQ WASTE FAUIL-IT' <br />rg' OTHER CI_U N-, IJP SI -5 (INONLGP) ❑ FOO O FACILITY 11 SOLID WASTE vF_; iicLF- <br />,JN LlNCrF'R°s�:.�l�^s'' Tr�l? ifAONFORINGIREMOVAL) CJ DOG KENNEL OPIRY <br />"Q vAfA 'JCTiS L�A.S:E GrN PATQR Q CHICKEN RANCH �] PK;G TRi`ATI4ENT PLANT <br />ERF -C PER;,, i rED FACIL." . MOTELIHOTEL D PUMPE4T` UL tgy'AP.}"PJ <br />7k T00"R DY PIEFtMNG ❑ POOLISPA ❑ LAND US=_ .-kPPL!GA.TiON SITES <br />C MEDICAL WAST =_ FACILITY ❑ OTHER (PLF-AA$E SPECIFY] --- - -- AIM00 <br />1. ` iSt up to te:1 addresans in tile space above. Select the type(s) of >iiesfrom the Fst above by, chpc-King <br />;he oppro'orielte box(es). At feast one file type MUST be seleb ed. =ax to 09j454-0138 or mail idr C,e 1P <br />acbre'xx jnd Qa,tvd apbvlvc. , <br />nef fy `hp Ppp icant if any EHD files exist. An appointment for revimy w.'(1 b' e.r s�fit rl <br />app; oxime'ely five business days but no later than ten (10) clays ,i`ter receipt of �­pphcativn. <br />wi+s I)e l%eid fa,° �j maximum of five business days for review. Appolntmlena.s should be sc ndt f�`ci <br />3. A Ti' -o `.hat is actively 'being vrorKod on by EHO staff may not be immediately available -'or reg. ievr. A ne-v\ <br />}ap':f sati,orG niay he. st;brnitted when the file is available. <br />rtnv fi`Q nat ref.ur ped ir::he same condition as released will b(� recirganize(! by E1 - D �-taff �zt tiie experse <br />,f t.; e afa lli� int. �riturs: file reviews by the sable applicant may rekuire a S93,00s viral} ,siti prior ku °�vieka. <br />5. ITF-NTATIVE appointment dates must be confirmed with ieHD stsiff. <br />C, Applicatlon3 reMei,red as=ter 3:00 pm will be processed the next business day. <br />I 0 )NFfl, .NAIi 1 ; .Pa OINTVENT DATE TIME <br />PHONE FAX lN1T_X_ti <br />REVIEi1',IED YES NO RirVIEW DATE <br />&&:200 <br />