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TO 19259409&2 P.01 <br /> LhU 00�' s4uwuuji <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH b4RVICES <br /> EWRONNENTAL HEALTH DWISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> APR 1 7 2001 STOCKTON CA 06202 <br /> (209)4641-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANT L (T)/yG <br /> &!3 7A1vrBu5m=A*EN cy 6 e1(j C ir�V el,<IS <br /> ADDRESS <br /> FACSIMILE <br /> PHONE '16 3 -163 ,e <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> (Please Ove 7 to 10 buskin"days from datit of vpp4[cWon Submittal) <br /> CHECK BOX TO'LXPEDr'UE REQUEST FEE.-REQUEST PROC43SEDIN 3 eu.%INESS DAYS <br /> SIGNATURE OF APPLICANT DATE 71VI <br /> 7 -7 <br /> FILE ADDRESS THIS SCDE EMM)STAFF USE ONLY <br /> PROGRokki ELEMENTS SZARCH <br /> q 6 V icro 1z L 6,15 t. 9 7z-4-V <br /> y ID L,612) 1 6 5 2 �Jv- <br /> 14Z ,- j-T2-11Q0 <br /> 2,0 0 Clff" A e C 4�&, F-I- 4 02E ,2A <br /> IV a S , 0- 4-6err Ave- , 4.006 9 S?,5EO <br /> -Z <br /> g s Ld7 c k e'r-e p-9 r - L41-D 1 - - <br /> • S TQ C ic fVN01"rz (9 1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> �W.4,NDERG ROUND TANK(UST)CLtMUP WTE(LOP) CO HOUSING ABATEMENT &"SOLID WASTE FACILrrY <br /> V�6THER GLI!ANIUP SITE(NON4LOP) C3 FOOD FAQLJTY C3 SOLID WASTE MaCLE <br /> r/, NOERGROUND TANK(MONITORINWREMOVAL) DOG MMEL M "RY <br /> U!/1eAZ.WOUS WA3TF!GeNERATOR n CUICKLN RANCH C PKG TREATMENT PLANT <br /> ur TiERED PERUMED FACILITY 0 MOTEU140TEL. 0 PUMPER TRUCK/YAR=KEM TOiLETB <br /> rm <br /> V 001800Y PELRCWG <br /> TT 0 POOLISPA 0 LAND 1151!APPUCATION SITES <br /> ZUICALWASTE FAULJTY 0 PURUC WATER SYSTEM 13 OTHER(PLEA38 SPECIFY ABOVE) <br /> I List up to ten addrassaS In the SPZCO above. Select the types)of files from the list above by checking <br /> the appropriate box(e:s)..At least on®file type MUST be Selected. Fax to EPRI 464-013D or mall to the <br /> addres§ indl <br /> 2. E <br /> HD will notify the applicant if any EHO files exist An appointment for review Will b*00rifirmed, <br /> approximately five business days but no later than ten(10) days after receipt of appitcau0n. The files <br /> will he hold for a rrljmmLLm of firve busfnez4 days for review. Appointments.should be sch*duled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO staff may not be Immadlataly available for review. A now <br /> application May be submitted when the file Is av-allabie, <br /> 4. Any rite not reWmed in the same condition as released will be reorganized by EUD staff at the expense <br /> of the applicant- Future file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with r:HD staff. <br /> 6. Applicatlons received after 3:00 pm will be procassed the next bUalness day. <br /> CONFIRMED APPOINTMENT DATE <br /> TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br />