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r <br /> 0 3-30--2_eol 10:SRT'! <br /> D-"'k 6tickhfhu $ EXD LOG taimocx <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SE VICES <br /> ENVIRONMENTAL HEALTH DIVISION � L4 �� <br /> 344 EAST WEBER AVENbF,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468:3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANT �1� jad � � e►�s sssr.�.sr�l�r � sr�c� der -z-4 c. <br /> ADDRES5 <br /> PHONE. 2: 4:1 L4LQ0- mcsla u Ci7 _4t_g <br /> TENTATIVE-APPIPINTMENT DATE I r �r -n nE 1�L�r/Jayh <br /> (Fleaw z5va 7 toi 0 to tw,ss days from date of Applit.4an r,"bmtttal} - <br /> CHECK Sox TO Expt!D m REMEST- �- U P�t0CIw5SF.o IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DAVE <br /> FILE ADi3R $ THIS SIDE END STAFF UW-GNL7 <br /> s PIRPGRAM ELE6fl:1 TS SEARCH <br /> 1jf02 1� Gov L� 1 Ztvcl +� t <br /> AkA. i <br /> � �/ ¢,yfaoh sa,cl J$a� �a� 3S• �(, a1-�J . <br /> I <br /> 1 <br /> } <br /> ENVIRONMENTAL H1=aLTH DrOSION FILES � <br /> 'rUNDERGROUND TANK(UST)CLEANUP SITE{LAP) C1 HOUSING,A$A,TEIAENT SOLID WASTIE VACILnY <br /> M(OTHER CL MUP SITE WON-T.OP) ❑ FOOD FACUTY 17 SOUD WASTE VEHICL E <br /> VNF(AZARDOUSWASTE OENERATORIRNGIfi>"MOVA4) 13W ICS PANCH A P� AT]I!<ETfTPLANT <br /> Q T[IlRFDPI:i2bIIrrTED>rACll,rrY © MCIIELlHEYrfcL Q PUMPER TRUCKMAPiDtotrEm-rojLeM <br /> TQ71[StIfSC?aY Pr L7 AQOIAPA ' ' © LAND USE APPUCATION SITES <br /> 0 MEDICAL WASTU FACILCTY 'M PUSLC WATER SYSTEM la QTMK(FLEA3F--PC-CIFYAUOVF4 <br /> 1. Liar up to tera addraSSOS in the space above- Select the type(s) of fil"from the list above by checking <br /> th�appropriaeeed x(es). At least one file We MUST be selOCted. Fax 209 464-01 r mall#n#h. <br /> sld2. E?iD will <br /> Aotlfy tho applicant!f any EHO FJas eXIs, An appointment fvr review will be confirmed <br /> approximately 11V&business stays but no Iata'r that!tett(10)da <br /> Xs after receipt of Opp(ICatiort. The files <br /> Will be held for a Maximum Of f[ve business dayilor rOvlew. AppoinfrnAnts should be whedt4led <br /> accordingly. <br /> . A file that is actively being worked on by EK)sPft rn y trot be immediately available for renew. A new � <br /> app;[catiori may De Submitted when the file is jVaiiabie. <br /> 4. AnY fEle rsa#rettirnad in tlzc same eondit3ort as r�"4sed will bs reorganized by EHD stalY at th's espouse <br /> of the appiieent. Future file reviaws b mo sa `: f <br /> 5• `'fEM•ATIVE s Y ��AAlisarlt may raga,Iire�a S$7.Qfl de�losit pri0t to review. <br /> B. appointment d*taa.Tn Wt ba c�otlf• wuh END staff. <br /> Applications received altar 3:00 pm will be pro�ed the next business day. <br /> OI FIRM d.APPOINTMENT DA3'E <br /> ©ATE CONFIRMED ' 0 -� - <br /> i <br /> PkIQNE FAX INITIALS <br /> REVIEWED YEfi NO <br /> s»i xs.'�'f.12EVI>`VY DATE <br /> tit aawrroo <br /> �; 'TuTFL P.01 <br />