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qac 20'30ud -1U101 x=x TO U5 1800 P.01 <br /> lea->,�-almi aa:aLtri rRLr1 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> E VIRONMENTAL HEALTH DIVISION <br /> AUG '1 3 2001 30 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> :!.. (209)468-3420 <br /> PUBL1C!RECORDS RELEASE APPLICATION <br /> �APFUCANT T Frz �^a \ X01E?1 TZ BUSINESS/AGENCY <br /> ADDRESS 4- - �ttl -�l\�c� �R�l9�c. Sp,1.3 g'cQ1r,9A�.. ^Nt? <br /> P 40AF <br /> • �'EYCT, \'Z�� ' <br /> TENTATIVE' APPOINTMENT,i4TE TIME <br /> {PIo,..gide 740!0 6usinos5 Cat's from daax of app4catlon stfUmittail <br /> Pl✓f T� <br /> J <br /> _ <br /> GHECK niOX'I'O EXPEpIrE Fte.QUEST•5VA0 FEE-REQUEST PROCE Q I(3 DUSINESS DAYS <br /> -SIGNATURE OF APPLICANT �-Cst'<-• DATE <br /> FILE:ADDREas' THIS SMEHO STAFF USE ONL <br /> PROGRAM ELEMENTS SEARCH <br /> _ momW aockt oni d915- a J�a ,Z <br /> ' S is u D2v coGt[�e <br /> cs>~ sr�h& i---- Yaec� <br /> -�f-- Q. e6�41e.96 -t�v.�QQr crJcv� <br /> �t�l�3P->E 'i"PSiCG-t�C3 Cts An9`f <br /> BtTt tvoQ-Ll-1 CL�1 \ - z <br /> .rC ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE[LQP) D HOWINGADATEMEHT Q SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) D FOOD FACILITY Q SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) D DOG KENNEL O DAIRY <br /> G HAZARDOUS WAFTS GENERATOR Cl CHICKEN RANCH D PKG TREATMENT PLANT <br /> G TIEREO''.PERMITMO FACILITY - O tdOTELIHOTEL n3 PUMPER TRWIVYARENCHEM TOILETS <br /> O TATTOOBODY PEIRCJNG 0 POOUSFA ' - ❑ LAND USE APPLICATION SITES <br /> c MEPiCALWASTE FACILITY ❑ PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY AHOYE) <br /> 7. List up to ten addresses in the space above. Select the type(S)of files from the list above by checking <br /> the appropriate box(es). At feast one file type MUST be selected- Fax to(209) 464-Qt38 or mail to the <br /> addross indicated above. <br /> 2. EHD will notify the applicant if any AHD files exist An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10)days after receipt of apptication. The files <br /> will be held for a maximum of Five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> .application•,may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released wilt be reorganized by EHD staff at the expense <br /> of the applicant Future file Toyiews by the same applicant may require a$87.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received atter 3:00 pm will be processed the next business day.. <br /> CONFIRMED APPOINTMENT DATE, TIME <br /> DATE CONFIRMED PHONE FAX INITIALS. <br /> I <br /> RF-*IEW�D YES NO REVIEW DATE <br /> tx W `ve r4 a - <br /> ' TOTAL R.01 <br /> �.,..-r. .ter rra�,cxzrn�rc ri: prgT ac..i. am a Il 17-II-I N41MlW N4 1C,:JLI In. f-T 9flH <br />