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� U <br /> GATE RECEIVED Lo UMBER <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> T WEBER AVENUE, THI <br /> STOCKTON CA 95202,e 4W" P <br /> 209 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATn j= 2 20n,2 <br /> APPLICANT GL ,�i_�. ,BUSINESSIAGENCY S <br /> ADDRESS S� PERMIT/SERVICES <br /> PHONE o�� FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE 3 y On Q(;L TIME <br /> (Please give 7 to 10 business days from daappi' on sub ' I) <br /> CHECK BOX TO EXPEDITE REQU T-$87.00W—URNMOCESSED 1N BUSIN S D+IYS <br /> SIGNATURE OF APPLICANT DATE 0 _ <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> s^s <br /> ori rnC - <br /> S�sl <br /> 4695 A/ u .I)n7 <br /> 1001-4 Aj <br /> 12QQL IJ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL 17 PUMPER TRUCKIYARD/CHEM TOILETS <br /> ,❑�{ TATTOOIBODY PEiRCING t3POOLISP4 13 LAND USE APPLICATION SITES <br /> =7"-MEDICAL WASTE FACILITY Cl PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> �. 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 least one file type MUST be selected. Fax to (209) 464-0138 or mail to the <br /> address 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 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 will be reorganized by EHD staff at the expense <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 /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT. TIME �' <br />