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brlTE FEGF1vE0 .. .. l./�- +<,J +�! u r-ts.•,Ilat r_�c <br /> SAN JOAQUIN COUNTYPUQLIC HEALTH SER <br /> VECES � <br /> ENVIRONMENTAL HEALTH DIVISION � �r Lgl������i�,� <br /> 304 EAST WFRER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 APP. 0 7 2600 <br /> PUBLIC RECORDS RELEASE APPLICAT'!Q <br /> AI'pUcAIV 13V5IN9SS1A0Errcy PEf'A��I /;f=1�1 fC�S 11 <br /> ADDRESSD <br /> PHONE g <br /> I��FAC IMILE <br /> ;z <br /> TENTATIVE-APPOSNTMENT DATE TIME <br /> (Please give 7 to 10 business days t vm date of appljoadan submiltal) <br /> I <br /> Q C HECK aox TO FDU"EDITE FtECtUF-$-r_$7BM FEE-RI:QUFSY M'RO[;r�SSED IN 3 BUSOdESs DAYS 1 <br /> 51GNATURE OF APPLICA 1�ATE <br /> I <br /> nn <br /> F <br /> FIS c wnr�op�R .. _ i <br /> �� � mss � <br /> -1. <br /> oe <br /> 1211 <br /> ENVIRONMENTAL HEALTH DIVISION FILES i <br /> h f <br /> NDCAOROUND TANK(U"CLEANUP 51TI (LOP) 0 HOUSING ARATEM INT SOi1D WASTE FACEUTY <br /> OTHER CLEANUP$[TE(MGM-LOP) Cl FOOD FACILITY 13 SOLID WASTE VEHICLE <br /> t NDERGRC)1ND TANK(MONITORINCOLEMOVAL) 13 DOCS KENNEL O DAIRY <br /> 1 HAZA)WOUS WASTt GEKE.RATOR M CHICKEN STANCH 0 PKG'TREATMENT PLANT <br /> 0 TIERED PERINITfED FACILITY 0 MOTELMOTi it. ❑ PUMPER TRUCKIYARDICHM TOILETS <br /> d TATTC 80PT PEIRCING 0 POOLISPA O LAND USE APPLICATION SMES <br /> 0 mEoick-WASTE FACIL17TY 0 Pus=WRYER SY5TFM L7 OTHER^FASE SPECIFY ABOVE) <br /> 1. List up to tan addresses in the Space above. Select the type(g)of files from the list above by checicing <br /> the appropriate bax(es). At least one file type MUST be selected. tax-to 9 8 or mAil to the' <br /> addre&g.fneli_nated ahave, t <br /> 2. EHD+brill notify the applittlnt if any EHD files ex1sL An appointment for review will be confirmed <br /> t approximately five busIness days but no later than ten(10)days after receipt of application. The files <br /> well be held for a maximum of five business days for review. Appointments should be scheduled <br /> ae ordingly. <br /> 3. A file that is 1Ctively being worked on by END staff may not be immediately available for review- A new i <br /> application may be Submitted when the file is available. I <br /> 4. Any file not returned in the,sante condition as released will be reorganized by SHO staff at the expense <br /> of the applicant. Future file reviews by the same appliwMt may require a$078.00 deposit prior to review. <br /> S. "TENTATIVE appointment Dates must be confirmed with EHD staff. 4 <br /> 8. Applications roCeived after 3:00 pm will be processed the next busmesa day. <br /> CONFIRMED APPOINTMM4T DATE TIME <br /> DATE CONFIRMED PHON£ FAX lriniw-s <br /> REVIEWED YES NO REVIEW DATE <br /> &J ea+. 014$M <br /> TOTAL P.02 <br />