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;I. <br /> iiuuD I 'f( t;�6-2001 E=.il i"i „ �h! TG 19255409532, P.01 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES vwtai.nwu�ec <br /> ' APR 1 7 2001 ENVIRONMENTAL HEALTH D1VISiON _ <br /> 3041EAST WEBER AVENUIE,THIRD FLOOR �� D <br /> ENVY=,{;i'`ilic i�'i ;'tA��H 'STOCI(TON CA 95202 <br /> H. (209)4813.3420 <br /> PEhi',f< 11r, � PUjBLIC RECORDS RELEASE APPLICATION <br /> i <br /> APPLICAror �_ Nr [1SIPIE3'JlAaIaNCY �7O C[1/5/ �'pyS�{ � f��, <br /> ADORES$ 67$ .L S "a-Ire_ 2Q3" G /}:S r� T <br /> g <br /> PIiQNE FACS1A11t�} s <br /> TENTATEVE'APPOINTM NE NT DATE, <br /> (plop"opus Ito 1f0 busiAa&z .�zl*vt�a{PWIC#tion sltbmikis!) .� <br /> i CHECK BOX TO l=1xPSDrCIz REQUEST-$47:00 FEE-RFAUEST PROCESSED IN 3 B MESS DAYSt <br /> SEGN�4WRE:.OF APPLICANT . �� DATE /-I�� <br /> • it ,i ;! <br /> • / � ai <br /> t=1I.E AGyDIj THIS SIDE END STAFF aj OfdLY <br /> PROGRAM Elk1AEFITR SF/MiZCH .. <br /> % L <br /> 57- <br /> 5 U <br /> C 114 A O 3s4 <br /> i 1P 8 &,reqo29 59 <br /> ENVIRONMENTAL HEAt:rH DIVISION FILES <br /> �Q JNDERGROUND TANK(Un CLI:mUp srrl=(Lop) 0 HOUSIi<IG ABATUMNT Be LID WASTE I:ACILETY <br /> � =12THER CLEANUP 1e(NOH�oI�) ;; O FOODFAcuLrrY �3'8ULII�iNA9TE VENICCE <br /> _XNDFR ROLING TANK(M0NtT0R1f14JitEM0VAL) C3 DOG K 0 D}n ,a," <br /> LT-�ISAZlryti?OUS VY+�9Tt=t'CNERATOR A CHH:I N RANCH 17 PKa 7REAYMENT P.uWT <br /> EK TIERED pFRLdI E"1 EA FACILTIY Ci �i071t1lliQT O PUMPE9tRUCWYAFlDfCHEU TOI.ETS 1 <br /> f C7�TATTQ4fB00Y PBIRCIMG C7 FGOMPA C] �,.ANa USE APPUCATIOH SITES i <br /> ? V AQEDJGAL WASTE VArALITY Z3'PVBUC WATER SYSTEM 0 dY'llW OPLEASRSPEOWYIi90VQ <br /> 1. List up to ten adsire;see-In the sPace above. Select the type(s)of funs from':the list above by,checidnp <br /> the appropriate bbx(as). At least one file type MIST be selected. 4 r a <br /> I <br /> 2. EHD will notify the applicant If any Elie Files exist_ An appolntment for review will bar confirmed � <br /> approx4natsly five businaaa days but no later than ten(14) days after recelF of application. The flies <br /> will be hold far it ffmximum of five busines4 days for review. Appointments strould be Scheduled <br /> accordingly. i <br /> A file that Is actively being worked on!#y LEND staff may not be Immediately available for review_ A now <br /> ' agpilaatlon may be xubrnitt d when the file is avallable. <br /> 4. Any file not returned itt the same cortfdilfon as released will be reorganizer!by EHD shafT at the expose <br /> of the applicant, f=uture file rii/taws by the same applicant nmy require a$87.00 deposit prior to review. <br /> 3. 'TENTATIVE APPointrMant dates mum be confirmed with EHD staff. <br /> 5• AppliCatlans recstvid ager 3:00 pm will be proceased the next business day.; <br /> I <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX <br /> l ENt'i'IALS �� <br />