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- 09-04-2001 11:3941 FROM <br /> ItuMI+U: <br /> 1'--11L SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> IT`� ENVIRONMENTAL HEALTH D1V[SION <br /> -ZO13A I 304 EAST WEBER AVENUE,THIRD FLOOR ((J/ <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ,APFLl Ar T OPX SSM ULt SD+J eusrNlasstgGECICY �t �S �1y V IRC11� r'1 `f l , 1 r,1 C <br /> ADlaR ss ��.P '2 NOV"ATa - <br /> PHONa* FACSIMILE , <br /> I 1 ` `� <br /> TF-N-VATIVF-'APPOINTIAE j DATIi t L)'F• + 1 TIMe > , <br /> uk)l(Plaaehl give 7 to f 0 bbusuzpss-7Siromdale of application submlttnl) <br /> CHECK BOX TO Q FEDITE REQUEST; -51T.09 FEE REQUEST PROCC$SEL1 IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE -- <br /> I ' <br /> FIL4ADDKESS TI;tS SIDE END STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> jRPnRT` >NA - <br /> 3 LIP t 14 5 ou Ttj A t P Po PJ' <br /> SAI 2, oU--T-r•t Ati5Pof<T VITA 4c <br /> 3 5 o U TI1 &I-- o o IQ � _ 35',a-tv 44K <br /> z�I12 5at�`1!t L � <br /> 'A. b v t - <br /> �i t9'.� ��a'TH El_ �oRA�o, T'REET � 3✓-=ZAP -- <br /> ` (b <br /> 2y�'-JO So/u�7" / G��-►Fr72v 1A 7 G].5T���T. : .. _.. _ . - <br /> C%.�� �G, /L L�J.J L(INiLG �7T . /�/•�O ...l�.-.-.. iw�. -r.• <br /> //, .�ttf7Clf'1U PILES <br /> uNLRUROUND TANK(U5T)CLEA,4.v1•w tE tLOP) I7 HOUSING ABATEMENT 50LiD WASTE FACILITY <br /> OT? F-R CLEANUP SATE(NON-LOP) ❑ FOOD FACIUTY SOLID WASTE VEHICLE <br /> UN ERGROUNA TANK(MONITORINGIREMOVAL) Q POG KENNEL DAIRY <br /> HA�ARDOUS W;NSTIs GENERATOR O ChiCKEN RANCH PKG YRCA•TMENT PLANT <br /> TIE.F2nPERMITTED FACILtTY ❑ hmoTEUIiOTEL PUMPER IRUCKfYAROfCHEM TOIL.ETS <br /> O TAITOOISODYVEIRCING O P60USPA "•- LAND USE APPUCATWNSIT ES <br /> a 'MV 1CAL WASTE FAC1LrrY 0 PUBLIC WATER SYS riM 0 OTH4R(PLEASE;SPECIFY ABOVE) <br /> 1. List up to tan addresses'in tho Space above. Select the typo(s) of fibs from the list above by checking <br /> the appropriate boxes}.:At feast one fille typo•MUST be selected. Fax to (209) 464-0138 or mail to'the <br /> E g�dress indicated a�hO� <br /> 2 F=HD will notify the applicant if any END files exist An appointment for revfow will be confirmed <br /> approximately flyo business clays but no later than tett(10) days after receipt of application.-'rhe Was <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> 3. Iaccordingiy. <br /> A file that is activOly being worXed on by EHD staff may not ba immediately available for review. A new <br /> applicatiah may be submitted When the file is available. <br /> 4. Any file not returned in the scone condition as released will be reorganized by EHD staff at the expanse <br /> of the applicant. Future f iie reviews by the same alsplicant may require a $37.00 deposit prior to review. <br /> 5. ! "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. ! Applicallons received after 3-OU pm will be processed the next business day. <br /> I <br /> coN ln1MED 400INTMENT DATA~ _ TIME _ <br /> DATE(CQNFIRMED _ PHONE FA?( iNOIALS <br /> R �FWEZ;A YES NO REVIEW DATE <br /> G11 u,.oda TOTAL P.01 <br />