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- _. — ora vva.0 - v��1i...-. 1- _ JJ.J' v..,v.R- .�•.i . <br /> tr.�VL . / <br /> DATE RECEWED FNn LqL I�UaIAEA <br /> SAN JC+..%IUIN COUNTYPUBLIC HEALTH SL,-,YICES W r. <br /> ENVIRONMENTAL HEALTH DIVISION Q -Qd C <br /> 304 EAST WEBER AVENUE!THIRD FLOOR / <br /> STOCKTON CA 95202 <br /> (299)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT e4j:2ESUSINESSLA43ENCY�Lf�'f,V - b e2Q — <br /> C2 ACijr d.0/t�' iJC'[SsQ <br /> ADDRESS - /7iL <br /> PHONE /7� I yer -__- _ FACSIMILF._4?5z `D 62- <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> (Please Give Ito w business days from A ti;of appliCAU*n submittal) <br /> CHECK SOX TO EXPEDITE REQU ST-578.114 FEE-REQUEST PROCESSED IN.3 BUSINF-33 DAYS <br /> SI NATURE OF APPLICA DATE <br /> FILE ADDRESS <br /> I <br /> ENVIRONMENTAL HEALTH <br /> DIVISION FILES <br /> fL-� <br /> NDERGROUND TANK(UST)CLEANUP SITE(LDP) O KOUSING—ATInMENT C3 SOLID WANE FAGIUTY <br /> THER Ci.EANUP SITS(NON-LOP) 0 FOOD FACILITY Q SOLI]WASTE VEHICLE <br /> 3NOERGROuND TANK(MONITORING►REMOVAL) C] DOG KENNEL a DAIRY <br /> HAZARDOUS WASTE GENERATOR Cl CHICKEN RANCH n PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ mOTI umuTEL Ia PUMPER TRUCKIYARDICHEM TOILETS <br /> O TATT=taoPY PoICING M POOLISPA ❑ LAND USE APPUCATION SITES <br /> C3 MEDICAL WASTE FACILITY (3 PUBLIC WATER SYSTEM In OTHER(PVASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files f n the list abov by checking <br /> the appropriate box(es). At least one file type MUS be selected. Fax o 20 r mail to th <br /> add roraos Indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10) days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should De scheduled <br /> accordingly, <br /> 3. A file that is actively teeing worked on by ERD staff � ay not be immediately available for review. A new <br /> application may be subrflltted when the file is available. <br /> 4. Any file not returned in the same condition as retea7ed will be reorganized by EHd staff at the expense <br /> of the applicant. Future file reviews by the Trmmv applicant may require a$78.00 deposit prior to review. 4 <br /> 5. `TENTATIVE appointment dates must be confirmed'with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> RMEWED YES NO REVIEW DATE <br /> �oo +, atrasroo <br /> TOTAL P.02 <br />