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F Hug 27 03 03: 42p Daf Chesney <br /> r <br /> UA (�yEg VE P. 1 <br /> lSAN JOAQUIN COUNTYPUBLIC HEALTH SERVICI=S "Da 00 NUMBER <br /> I =p �jfr ENVIRONMENTAL HEALTH DIVI$I� <br /> 304 EAST WEBER AVENUE,THIRD F1,60f� ;'- — <br /> F° EN AONMENT HEALTH STOCKTON CA 95202 <br /> PERMIT/SERVICES (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION ` - -- -__-` <br /> APPLICANT <br /> /1 B[f31NE5SlAGENCY <br /> ADDRE55 <br /> PHONE <br /> FACSfmmx <br /> TENTATIVE"APPOINTMENT DATE <br /> (Please 5hre 7 to 7 t1 businessdays from date of a TIME <br /> f PMIr-atfon submittal) 0AW <br /> SIGNATURE dF APPLICANT ST PROCESSCHECK BOX TO EXPEDITE REQUEST. 04 FEe <br /> ED IN 7 BUSINESS DAYS <br /> DATE ,a <br /> FRX ADDRl:g5 <br /> � THIS SIDE EHt]5TAF1=US€OF1LY <br /> PROGRAM EL@me SEARCH <br /> Loh <br /> t3 UNDERGROUND TANK(UST)MEANUP stTl;(LOP) n <br /> (L 3 F40USING ARATEM[NT l"r7 Cnun WARTF <br /> 17 OTHER CLEANUP SITE fNQNd.OPI „ f <br /> UNUERGROUNDTANK <br /> JJ fil"E6 PERMfi4it FA09JTYF 1 ,,,nr��r,,, u P -TREATMENT 1'LA?a* <br /> 7. OTHER fl'L�rsE.. - <br /> List up to ten addresses in the <br /> the appropriate boges). At leas, :.. ..... ..... - _ ..... <br /> n4r;f f MO applicant tf any EHO fifes Cxist. An apt70intm4nt for rrzvinw wilr ha nr,frr, <br /> appfaximatelY five business <br /> ..,..... ., .,�.y. <br /> 3. A file that is actively being worked on by EMD staff may not he immprlintaly aAr.nNu,la fn...,.A; ., „ <br /> not returned in the lama condition as rcleasod will be rcorannlrnd by a=Wn <br /> wR't j <br /> _. - -� ::1:.0 Irv,nrn:Y _ •_ar .RfY -- �.. .... . • �. �.. ., .:..:or. - ..__.. <br /> M <br /> CONFIRMED APPOINTMENT DATE <br /> T IM,C <br /> DATE CONFIRMED <br /> P"O. r; FAX tf3 Tir"1L a <br /> I RFVrl:wl:n <br />