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.�M1U--i`t-GiJI'.iC1 1A::1.- i-i•.i�E'l: I'.4i1'il I'Ifl'cJ:a, -��—_{.. 11LU 1., i �'�i�-J �� <br /> . *J1 •LJi <br /> 08-14-22030 10:29PM Rk-1' TO = 155926 7126 P.01. <br /> C+A r2 ftECF1 EtW LQG AUMYCR i <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEAD H DIVISION <br /> �QQQ 304 EAST WESER AVENUE,THIRD FLOOR <br /> AU 1 STOCKTON CA 95202 <br /> . ENS H>�A��H (zoo}atta0� <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ENP L�CANT I�Y�`--�T DUSiNLSSIAGENCY I <br /> ADDRESS f � � <br /> QHONZ ` tl ZU 502-1 FAQ3WILE X551—Z0 X12 ., <br /> + <br /> TENTATIVE*Appuw-renekcr DATE TtME --`��cw-. �^ <br /> (Ple=a give 7 to 10 buai days fM date Of appllUtIm Submittal) <br /> CHECK BOX TO EXPE'>M REQiIMT-$67.00 FEE•-REQUEST PI 20 IN 3 5USINESS DAYS l <br /> SIGI+IATLIRE OF APPLICANT DATE <br /> k <br /> FL E ADDREAS THIS SIDE 6ND STAFF USE ONLY <br /> X35 ri7 k �� PA00 AW EL.EMIITS SEARCH <br /> b �iU 3Cf �i l <br />}; �� v 2 0 2 qISO <br /> . <br /> Cr, Y V 0 L S. 1 .X Y V i <br /> 1ST "L�?:�� C �} 1.�' U Ufa C4. W <br /> b L ENVIRONMENTAL HEALTH DMSION FILES <br /> 13FiOMROUND TAFIX(LLST) •L ANUP SITE(LOP) ❑ HOL SING AaA'YI!MElliT - ❑ SOLID WASTE FACIt,f(f — <br /> OTHER CLEANUP SITE(MGM-LOP) ❑ FOOD FACQM t7 SOUR WANE VEHICUm- <br /> VHDZRGR0UM0 TANK(MQNrrOMNCURCMDVAL) ❑ DM FSEIINEt Cl "RY <br /> HAZAW OUS WASTE GENEI7ATOR ❑ GIIICICN RANCH Q PKG TRE'ATIY MHT PLANT <br /> TIERED PERMn74QFACILM 17 edOTCLMTEL 0 PUMPFRTRVCYJYAIUUC;iEMT02,M <br /> P TArrODMODY Pf_li2GING D PdOUS'A ❑ LAND USE APPLICATION ATION SITES <br /> [7 ME=AL WA$'E'2+FACILITY G PUBLIC WATER SYSTEM ❑ OT}tER(PLMSE SPECIFYABOM <br /> 7. List up to ten addresses in the space above. Select the typa(s)of flies from Elie list above by checking <br /> the appropriate box(es). At least one File type MUST 6e,selected. Eaxto(209)J64t9,338 or mail to the <br /> *ddress Indicated above <br /> . EF(b will notify the applicant if any EHD files exist. An appointment for review will be ccrtfinTied <br /> i approximately five business days but no later than taR (10)days atter receipt of application. The files <br /> will be hold for a maximum of Five busirteali days for review. Appoinmcnts shqutd be scheduled <br /> i <br /> accordingly. <br /> A rite that is actively being worked on ley EHO eUEf may not be immediately available for review. A now <br /> application may be submitted when the file is available. <br /> q, Any file not returned In the same conditlan as raleased will be rearganixed by E HD staff at the expense <br /> I of the applicant. F=uture file review's by the same applicant may require a$87.00 deposit prior to raviaLw, <br /> "TENTATIVE.appolatment dates must be confinrned with EHO staff. <br /> Applications received afWr 3:00 pm will be processed the next business day. <br /> i <br /> l <br /> �CONFIfiMED APPOINTMENT DATE TIME <br /> MATE CORFIRMED PHONE FAX INITIALS <br /> F <br /> s <br /> JEV1E1NFZD YES NO W DATE <br /> XM av 14 <br /> TOTI- P.01 <br /> > <br />