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-489 P.002/002 F-473 <br /> ��-21-2004 13:3 8 FROM-COLLIERS +2084755102 T <br /> aATF RECEIVED SAIti JOAQM UOUNTY <br /> ENVMONMT,NT'AL JUALTH DEPARTMENT <br /> 304 E Weber Ave 3'Floor Stockton, CA 95205 <br /> (209)468-3420 Fax: (209)464-0138 Web:www.c0.s2n joaquin.c�us/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ©Ip <br /> APPLICANT: BclsLriFSsrAt�EDicY: <br /> ADDRESS: <br /> I{QNE: <br /> .'Z D FACSi#AiLE: <br /> TENTATIVE'AppOIMTMENT DATE* Tim+ <br /> (Plea"allow 10 puslness days"M d3215 at appiitOon submittal) <br /> En cHFO(BOX TO EXPEDITE REQUM E-REQUEST POSED IN 3 BUSINESS WAYS <br /> DATE .L;I-a <br /> SIGNATURE OF APPLICANT 5 pepsnsmM lsa 00f <br /> r j •- t 6 2— UNIT <br /> ME Apprttrss <br /> M= <br /> 5' C3 unit 1 <br /> Z <br /> Unite <br /> �a <br /> s� � Unit 3 <br /> s. � <br /> e Und <br /> �. s� <br /> B scs=e Unit 5 <br /> 8. e91 <br /> td 5a.e.1 cpl� %jA, <br /> ENVlRpNMENTAL,HEALTH DEPARTMENT FILES xt <br /> O HOUSING ASATEIIAENT SOUP WASTE FACtLtTY <br /> �1AERGROUNO TANK NSTI CtANUP 3rrE(LOP) D FOOD FACIUT�! Q SOLID WASTE VEHICI-E <br /> ipTHER CLEANUP SITE(NON-Lop) o DOG K)�1NF3^ C1 DA RY <br /> C�uNDERGROUND TANK(NiON17oRiN6/REIiAOVAi) 0 ctipmN RANCH C MG TR>=ATMENT PLANT <br /> D'XAZMDOUS WAM GENERATOR C3 M�� L © PUMPER TRUCK/YARD1piEM TOILETS <br /> C! TLEREA PERMM13 FACT ❑ pqcnjSPA y t0 LAND USE��A�ZITES <br /> 0 TATTOOIBODY PIERCING �ER TLEA$E <br /> Q iVIECICAL WAST£FACILITY <br /> s.of flies from the list abaye by checking <br /> 1, List up to ten addresses in the spaco above. SelOct the tYPe(s) b 38 or ai to e <br /> the appropriate box(es). At toast one file type MU5T be selected. Fax to 209 <br /> ddress indi ted above <br /> 2, EHD will notify the applicant if any EHD files exist. An appointment for review <br /> all y The tiles <br /> approximately five business days but no later than ten(1Q)days after pp <br /> will be held for a maximum of five business days for review. AppointTnents should b0 scheduled <br /> acxordingly- <br /> 3, A file that is actively being worked on by EHO staff may not.be Immediately available for review. na <br /> application may be submitted when the file is available. reorganized by EHA staff at the expert <br /> a_ Any file not returned in the same condition slBas released <br /> 1LGant Lray q ire a$93.00 deposit prior to revie <br /> of the applicant. Futuro file.reviews by Pp <br /> 5. *TENTAT[VE appOintment dates must be confirmed with EHD staff. <br /> Applications roceived after 3:00 pm will be processed the next business Clay- <br /> CpNF{RMED A ,poiNTMENT DATE SME <br /> GATE CONFIRMED PHONE FAX MTWA <br /> REVIEWED YES No REVIEW DATE <br /> vsaoaa <br />