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w � <br /> -�'� PAGIr 01/el � <br /> 07/15/2802 14:35 209ti, J110 AGE SSD ON RD LoG Nvmnm <br /> QAT,,RECEIVFA `$ <br /> SAN'JOAQUIN COUNTYPUBLIC HEALT "ERVICES <br /> ENVIRONMENTAL. HEALTH DIVISIO WCIRVEED304 EAST WESER AVENUE,THIRD FL <br /> STOCKTON CA 95202 <br /> (259)468-3420 JUL 16 ZQQz <br /> tiUBLIC RECORDS RELEASE APPLICATION I <br /> ����rr - M,,7RALTH <br /> APPLICANT i�[.�•F Bt1S1NESSIAGa:NCY ES <br /> ADDRESS <br /> PHONE <br /> 0?0We FACSIMILE VS HI <br /> TENTATIVE'APPOlNTM1=NT DATE TIME <br /> (Please gl 7 to 1�fl uatnesb free:A <br /> Off appI Linn submittal) <br /> CHECK BOXTO EXPEDITE REQIl1r �U FEE QUE p �'N g 511�tf SS DAYS I'f <br /> DATA: <br /> SIGNATURE OF APPLICANT <br /> FILE A[1DRES5 <br /> wa <br /> r <br /> l �Y <br /> PArt ' <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> El SOLID WASTE FACILITY <br /> UNDERGROUND TANK(UST}CLEANUP'517E{LOP} E3 HOUSING ABATEMENTTp SOLID WASTE VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) C3 FOOA FACiI.ITY 13 'DAIRY <br /> UNDERGROUND TANK(MON17ORiNGrALMOVAL) C3 DOG KENNEL 0 PKG TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH p PUMPER TRUCKlYARWGH> M•TOILETS <br /> TIERED PERMITTED FACILITY E1 MoTELJHOTEL ❑ LAND USE APPLICATION SITES <br /> O TA'IT04184DY PEIRCING iD POOL/SPA CI OTHER(PLEASE SpECWY AHOVF) <br /> ❑ MEDICAL WASTE PACIL.ITY 0 PUBLIC WATER SYSTEM <br /> 1. List up to ten addreses in the space above. Select the type(s) Of files from the list above by checking <br /> s <br /> .()1all to <br /> the appropriate box(es). At least one 1`110 type MUST be selected. <br /> 46438 ar m <br /> addregs I di ate °�Ic y ointment for review will be confirmed <br /> 2. END will notify the app ant if an EHD files exist. An app s after receipt t of application. The isles <br /> approximately five business days but no later than ten(10) day p <br /> will be held for a maximum Of five business days for review. Appointments should be scheduled . <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may net be immediately available 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 EHD staff-at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $T8.00 deposit prior to review. <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 /> F <br /> RMED APPOINTMENT DATE TIME <br /> ONFIRMED <br /> PHONE FAX INITIALS <br /> REVIEWED] YES NO REVIEW DATE <br /> E14 <br /> 00 14 V lffi 00 <br />