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It?'Tc RECE7'+G'] <br /> I SAN JOAQUIN COUN31'YI'USLID HEALTH SERVICES V <br /> ENVIRONMENTAL HEALTH DIVISION Q <br /> 304 EAST WEBER AVENUE,THIRD Ft-aflR JUN 2 6 2000 8 <br /> STOCKTON CA 95202 <br /> (209)468-3420 ENVIRONMENT HEALTH <br /> _ PUBLIC RECORDS RELEASE APPLICATION p_E <br /> APPLICANT `-f C fJfl LBU�SItiESSIAGEMGY Sa <br /> OpRE55 JKJ rryy <br /> pHQNE � ( FACSIMILE ) <br /> i <br /> TENTATIVE*APPOINTMENT DATE TIME, <br /> (plcas,c give 7 to 10 business days frem data of application submittal) <br /> f <br /> CHECK SOX To ExPEXTE RE F_S OC .E-REO 57 PROCESSE❑IN 3 BUSINESS BAYS <br /> SIGNATURE OF APPLICANT DATE61 ' vO 3S-b <br /> PILE ADDRESS THIS SIDE EHO STAFF U5E ONLY 330 <br /> PROGRAM ELEMENTS SEARCH <br /> 35 j <br /> ()1,2-1 <br /> F , L4-1 O1 Z 1 v azo da �a a a a 1 �a 80 <br /> _ a a � <br /> s ? <br /> ' t <br /> I I <br /> ENVIRONMENTAL htFALT1.1 UlY1S10N FILES <br /> UNDERGRDUNO TANK(UST)CLEANUP SLTE(LOP) C Ii4u5ING ABATEMENT �SQL1D WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACU-" ilp SOLID WASTE VFHI--LE <br /> uNDERGRDUNn TANK(MONITORING(REMOVAL) C DC}G KENNEL C >?A{RY <br /> NAZARUOUS rrASTE Gl NERATOR C CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> r TIERi:0 PERMITTER FACILITY O fAOTI^LrHOTEL C PUMPER TRUCKICATION EMS LETS <br /> TArrOOJSOQY PETRCING O POOL)SPA � OTHER <br /> APPLICATION ABQ <br /> izr,;D CAL WASTE FAGILLTY ) PUBLIC WATER SYSTEM C7 OTHER(PLEASE spECLFY A$Ot�} <br /> . List up to ten addre, les in the space above. Select the types) of files from the list above by zheCking <br /> the appropriate tiox(es). At least one fila type MUST be selected. F. to (209) 464.01 8 or mail to the <br /> addressin i 0d above. <br /> E"D will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> f approximately five business days but no later than ten(10) days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> I accordingly. <br /> A file that is actively being worked on by EHD staff may not be immediately availabte for review. A new <br /> I application may be zubmitted when the file is available. <br /> d. Any file not returned in the same condition as released will be reorganized by END staff at the expense <br /> of the applicant. Future fila reviews by the same applicant may require a$78.00 deposit prior to review. <br /> 5_ TENTATIVE appointment dates must be confirmed with EHD staff. <br /> fi. Appttcmions received after 3:00 pm will be processed the next business day. <br /> l <br /> CONFIRMED APPOINT M F_NT-DATE _ TIME <br /> 4 GATE CONrIRME� <br /> PHONE FAX INITIALS , <br /> FtIvVIEWED YES NQ REVit=Ytr C?ATi« <br /> oa �< a1r1a�'• <br /> 7071aL. P_0� <br />