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�_. ___� ��. '. }may, _ vri as 4.v a. a v_...__la I_ ., lU ♦1aJafw L <br /> &ArE RECEIVE❑ <br /> [Hh LOG[iUA1SfH <br /> SAN J UIN COUNTYPUBLIC HEALTH SWICES <br /> ENVIRONMENTAL HEALTH DIVISION /� ) <br /> 304 EAST WEBER AVENUE,THIRD FLOOR Q Q ry OC <br /> I STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT U BUSINE$$ �(iEN4 <br /> CY �LL.�. .�„ <br /> �+C/tom <br /> ADDRESS .J /Lt o S <br /> PHONE Z,3I.1 FACSIMILE_ gs4P—e 62-_[ <br /> TENTATIVE APPOINTMENT DATE TIME <br /> (Please give 7 to 10 business days tram d■te of application sutymittal) <br /> CHECK BOX TO EXPEDITE REQU ST-S78.09 FF.E—REQUEST PROCESSED IN 3 SUSINt=BS DAYS � f <br /> SI TURF OF APPLICA DATE <br /> FILE ADDRESS <br /> 46c- <br /> 4Z <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION FILES � <br /> fL-� <br /> NUERGROUND TANK(UST)CLEANUP SITE(LOP) 0 1-101151146 ABATEMENT 0 SOLID WAS'T'E FACILITY <br /> THER CLEANUP SITE(NON-LOP) 17 FOOD FACILITY 0 SOLID WASTE VEHICLE NOERGROUND TANK(MONITOMMYR£MOVAL) 0 DOG KENNEL O DAIRY <br /> AZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 RKG TREATMENT PLANT <br /> ERED PERMITTED FACILITY 0 MOYPt1NOTEL a PUMPER TRUCK YARD(CHEM TOILETS <br /> 0 TATTOOl15007 PEIRCING 0 POOLISPA I7 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM es OTHER(PLEASE SPECIFY ABOVE) <br /> 1, List up to ten addresses in the space above. Sleet the types}of files fp6 the list abov by checking <br /> the appropriate box(es). At least one file type MUST be selected, Fax v 209 4 r mail to th <br /> addrer,s indicated above <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review Will be confirmed <br /> 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 pe scheduled <br /> accordingly, i ' <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new i <br /> application may be submitted when the fife is available. <br /> 4. Any file nvt returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the Berne applicant may require a$78.00 deposit prior to review. �t <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> Applications received lifter 3:00 pm will be processed the next business day, ; <br /> CONFIRMED APPOINTMENT DATE TIME - <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> Eft o0 a etRSlOtl - <br /> TOTAL P.02 <br /> I <br /> i <br />