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d�0 ;16-2E@8 fl3 gwPN Fl�� l U "3�542f 4106 P.02 <br /> !Joie NkC[nrJ1i � kINJ LUI:NUWf[If <br /> l SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES �S <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKrON CA 85202 f 1 <br /> (208)4M-34= <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT .,/ZiAJ L{'LAY 61e�uy <br /> ADDRESS 6y;-O cr ?sS 6G <br /> PHONE `/ 5 -C/;2z - ;�-G 29 FALS"I : F2-s- — 17G - 3{0 6 <br /> TENTATIVE"APpOW,T[f?4EN1 DAIS _ TIME t <br /> . (PNasa Aive 7 to 70 C.n:nus days kqn Cale d apyization sobrtilW,1) C9cC. A56/� <br /> © GHECK 8 WC 7G ExPEDrrE REgUE &DQ EST PAOCESSED CN 3 BUSINESS P11-Y5 <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS - THIS sloe END STAFF U5E ONLY <br /> PROGRAM ELEAUWTS SEARCH <br /> LK '/ r✓eIQE HRi � d.Q7 cF SrLN 7'Dn) <br /> Os 3 g v d*10,5 A � <br /> S 9r° <br /> II c <br /> ENVIRONMENTAL HEALTH DIVISION FILE <br /> UNDERGROUND TANK{UST)CLEANUP 51TE CLOP) ❑ HOUSING ABATEMENT SOLID WASTE FAG1LrrY N <br /> OTHER CLEANUP SITE tNONa-OP) 0 FOOD FACILITY SOLID WASTE.VEWCLE � <br /> UNPPRGROUND TANK SMONRORtNG!REMOVAL) 0 DOD KENNEL 4 DAIRY —_ <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 PXG TR8ATMENTPLANT <br /> Tkr TIERED PERMITMO FACa4TY P MOTELMOTEL )W PUMPER TRUCKIYARDICHEM TOa£TS <br /> CI TATTOGVROQV PEIRCING ❑ PAOLISPA X LAND USE APPUCATIOH31TES <br /> 0 MEDICAL WASTE FACUTY 17 PURLSC WATER SYSTEM 13 OTHER{PLEASE SPECIFY AOOYE7 <br /> i. List up to ten addresses in the space above. Select the types) of filW rom the list above checking <br /> the appropriate box(es). At least one file type MUST be selected. 20 464-0138 or IaTj to the <br /> address indicated abwe. <br /> 2. EHD wit! notify the applicant if any END fdes exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of appFication. The files <br /> will be held for a maximum of rive business days for review. appointments should be scheduled <br /> accordingly. <br /> J. A file that is actively being worked Dn by EHO staff may not be immediately available for rMaw. A new <br /> application:nay be whmitted whan the file it available. <br /> 4. Any file not returned in the same condition aS released Witt be reorganized by END staff at the expanse <br /> Of the appUcanL Future Nle reviews by the same applicant may require at$78.00 deposit prior to ravieW. <br /> 5• 'TENTATIVE appointment dates must be Confirmed with END staff. <br /> 6. Applications received after 3:00 Pm will be processed the next business day. <br /> 'CONFIRMED APPOINTMENT LATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> #n oo u <br /> TnT" P P7 <br />