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41,54535661 P.02 <br /> 195 -G�9r317 0'3: :F?i 1 r RG TO L>,W LU(,NUFAULK <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,T1-tRV FLOOR <br /> STOCKTON CA 95202 <br /> VA AO ly, <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 40L4 dA tAGENCY <br /> r�Q CA <br /> PiONE FACSIMILE <br /> TENTATWE'APPOMTMEN,T DATE y <br /> (pj0a,*C give 7 IQ 10 buziness days fraw dale al.aPPI;Ca%;­­bmittaQ <br /> "t C <br /> TO LXPeDITE REQUEST.$SUQ FEE-REQ ST R CESSEED, BUSINESS DAYS <br /> 511SNATU4P.5F_oy OF APPLICANT <br /> imis Sim F-W-STAFF USE ONLY <br /> FILE ADDRESS PRQGRW ELVAENT54EARCH <br /> Inc <br /> 0 zk6l <br /> ------------ L Li <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> � <br /> UNOERGROUND TANK(USTJ CLEANUP SITE(LOP) 0 HOUSING ARATE34ENT 0 SOLID WASTE FACILrTy d <br /> OTNERLI FOOD FACILLTY 0 SCUD WAST9 VEHICLE-LOP,CLEANUP SITE 4NON r!] <br /> 0 UNDERGROUND TANK(MONifORINGMEMOVAL) 0 00r,KENNEL DAIRY <br /> O 0 CHICKEN RANCH (71 PXG TREATMENT PLANT <br /> HAZAROOLIS WASTE GENERATOR FACILITY 0 MOTELIHO0 FUMPERTRUCWY^IRDiCHVM'T0ILE`TS <br /> TIERED PERMITTED "TEL <br /> TATTOQEDDY PEIRCING P001,1SPA 0 LAND USE APPLICATION SITES <br /> M <br /> 0 MEDICAL WASTE FACILITY 0 FU a LIC WATERS YSTF A 0 0THEk(PLE-A1$F6PECJFyA-R0VE) <br /> 1. List up to ten -addresses in the spare above. Select the type(sj of tiles from 1110 65t above by checking <br /> the appropfiate box(es). At 1033t.40aa file tYPc MUST be sciected. Fax to[2D9L46-4-0138 or mail to the <br /> ad4rS,1f; indir-atucl <br /> 2. EHD milt notify the applicant if any EHO files exist_ An appointment for review will he confirmed <br /> approximately live business days but no later than tern(10)days after receipt of application. The files <br /> will be hold for a maximum of five business days for mvie-N. Appointinant--i should be scheduled <br /> accordingly. <br /> 3. A file that is actively being wozK*d on by END staff may n<:t be immediAtOly available for review. A new <br /> application may be submitted when the fJIC 15 available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EMB staff at the expense <br /> of the applicant. Future file reviews by the sarne.appliCant may require a$137.00 deposit prior to review. <br /> 5. 'TENTATIVE'a ppointment dates Must be confirmed with E40 staff. <br /> 6. Applications received after 3:00 pm will be processed the -iext business day- <br /> CONFIRMED APPOINTMENT PATE <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> YES NO REVIEW DATE <br /> M 09 14 VM1099 <br /> TOTAL P,02 <br />