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/ // <br /> TO 3336492 P.6I <br /> RaSH <br /> 12-1 1 02s57PM FROM <br /> . SAKI JOAQUIN COUNTYPU6LlC HEALTH SERVIGI=S <br /> .8kWiRONMENTAL i-iEALTH DIVISION <br /> 304 EAs-r WEBER AVEHuE,Tli1R17 FLOOR <br /> STOCKTON CA 952OZ <br /> (203)466-3420 <br /> _ PUBLIG kECORDS RELEASE APPLICATION <br /> APPLICArIT CH4S. FII1117 13USI141 SSIAGENCY E1tfVIRO.I1Mf✓ilfl`1I1. 5CfF1V�F SERtHC 1lSC- <br /> ADDRES'R M26 Al- LbL�CA �1CK�tM�� #L' <br /> PxONE bf.r..f-7 FAC5IAULk 3 3 3 � <br /> -�7 Dl TIM11 10=(}D ftM <br /> -rL-NTATrVE'AppoiNTMIENT DATL" 6QA%I0":uw,uit,ll <br /> (Plea.o pnc Y l0 10 huslvlot&dA. c Irom date of apn <br /> 1 <br /> [� CHE4:K 139x TO.CXPEDITE K.EQUE-ST-• .00 E-R QV'S P �n IN!i AUSINEBS UAYS <br /> 1 t DATE ' 10� <br /> S16NATt RE aF$,PPL1CAHT <br /> FILE ADORCSv THIS SWC ENO STAFF USE-ONLY <br /> PROGRAM EL EMCNTS SCAAC" <br /> 77170 rllZWL4AfLt a. tea- IL <br /> 1 <br /> i <br /> I <br /> EkVIRONMt:NTAL HEALTH DIVIsioN FILES <br /> V( -DEAGROUND TANK JUST)CLEAIJUP SjTE CLOP) 0 k[OV51HG ABATEMENT JO SOLID WASTE FACiLrrY <br /> IIHEA CLEANUP SITF.(NOR-LOP) ¢ FOOD FACILLTjY 0 SOIJD WASTE VEHIClC <br /> 9{UND€RGAOUNDTANKtMONITORINWREMOVAL) 0 POGMENNEL 0 DAMY <br /> O NRyAr�DOUS WASTE GENERATOR O CHICKCN RANCH O P3(G TREATMENT PLANT <br /> D Tidned PERMITTED r-AGiUTY Cl tA0T4wH'OTEL Q PUMP9it TRUCIUYAROKHEN TOILETS <br /> o TAT•Tobf8GDT PJARCING CI POOUSPA a LAND USE APPLICATION SITES <br /> o MLorC+U WAsT4 FACiuTY >a PUBLIC WATER SYSTEM O OTHER(PLEAS[5PECII-'T A13OVEI <br /> 9., ! list up tv teil addresses inithe space above. Salert the type(s)bf tiles from the list agove by ChcCking <br /> j <br /> the appropriate box(es). Ai feast one file typo MUST"be selected. fax I J2Q0)4640130 or mail to the <br /> j a dress indirale-cl above. <br /> 2. 1 END wil(fiadfy the applicant° ay EHD files exist. An appointment for rcvicw will be eonfirmd <br /> approximatoly rive businer s but no later than ten(10)days afierrcccipt of application.-,rho files <br /> Will be hold for a maxim, re business days for review. Appointments should be:Ghcdulcd <br /> accordingly.. <br /> 3. iA file that is actively being j•orkcd on by EHD•staff may pot be Immediataly available for cc-view. Anew' <br /> ,application may ue su4MAtyd when the fife is available- <br /> 4. jAny file not'returned in ilia same oonultion as reica32d will be rcor9anized by Elft) ,tact at the expCilse <br /> of the applicant. Future file rFviews by th¢same applicant may require a$87-00 deposit prior to review. <br /> S, i*TENTATIVE,appointmont crates must be confirmed with EHD staff. <br /> 6. IApplieations received alfter3.00 Pm-will be processod tho next business-day, <br /> i <br /> i <br /> CONFIRMED APPOWTMENT BATE TIME <br /> DATE CONFIRMED PHONE FAX Its[TIALS <br /> t <br /> F2J=lIlF-WLI�D• :YES i NO REVIEW IDATF- <br /> TOTAL P.01 <br /> � ,d dQT _Ln Tn r-T �+�r. <br />