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�10f30f2890 22:20 20946H,,wd FIFTH FLOORv� �r-II"I�� �E(1�D <br /> RECENED SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES '��f `l�� W <br /> ENVIRONMENTAL HEALTH DIVISION. OCT 3 0 20OO <br /> 304 EAST WEBER AVENUE,THIRD FLOOR ' <br /> STOCKTON CA 95202 ENVIRONMENT HEALTH <br /> (209)46$-0420 PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT <br /> �iyJ•7n (N�W�¢ BUSINESS/AGENCY r �d 1-4% <br /> ADDRESS /X 33 � ?'!�r�✓lcY-� I <br /> PHONE (Y/&)92 F`33 D d FACSIMILEC 99/11 9Z R —�r 3N <br /> TENTATIVE*APPOINTt.IENT DATE !7 /6 /OZ) TIME .101v If <br /> (Pliaase give 7 to I!Dbusineft days from date 0 application subnittal) <br /> CHECK BOX TO EXPEDI[TE REQUEST-38T.00 FEE'-REQUIES ED IN 3 BUSINESS DAYS <br /> DATE t 3+ O <br /> SIGNATURE OF APPLICANT <br /> FILE ADDRESS THIS SIDE­­EHD USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 4 yo <br /> 1-4 9Lt C� <br /> �^ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> El HOUSING AELATEME14T ❑ SOLK)WASTE FACILITY <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ FOOD FAGILrTY ❑ SOLY)WASTE VEHICLE <br /> ❑ OTHER CLEANUP SITE(NON4LDP) L7 DOG KENNEL ❑ DAIRY <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) O CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ MOTEUHOTEL ... [3PUhtiPERTRUCKlYARD/CHEMTOlLET9 <br /> ❑ TIERED PERMITTED FACLUTY I-] POCUSPA ..- , ❑ LAND USE APPLICATION SITES <br /> ❑ TATTOOMODY PEIRCING ❑ PUBUC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> ❑ NIEDICAL WASTE FAGLM <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 9 464-0 38 or mail io he <br /> address indlcated above. ointment for review will be confirmed <br /> 2. EHD will notify the applicant if y EHD files exist. appointment <br /> receipt of application. The files <br /> approximately five business da s but n later than ten('i0)days . <br /> business days for revie+rrr..Appointlnents!should be scheduled <br /> will be held for a ma:dmurn of five <br /> accordingly. y not be immediately available for review. Anew <br /> 3• A file that is activel being worked on by EHD staff may <br /> application may be submitted when the file is available. <br /> condition as released will be reorganized by EHD staff at tho expense <br /> 4. Any fife not returned in the same <br /> of the applicant. Future file reviews 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 /> g, Applications received after 3:04 pm will be processed the next business day <br /> CONFIRMED.ApPO1NT(RENT DAT <br /> ME AIME <br /> DATE CONFIRED -=------ <br /> PHONE -FAX. INITIALS <br /> REVIEWEf) YES NO REVIEW <br /> E!1 00 14 0810790 <br />