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is•d Lal <br /> PJ�AN JOAQUIN COUNTYPUBLIC HEALTH SERVICES L"uLu414L-"L_R <br /> ENV1RONMLNTAL HEALTH DIVISION rr'' <br /> F E B 2 0 2001 304 EAST WEBER AVENUE,THIRD FLOOR � �� <br /> STOCKTON CA 95202 <br /> Eid'�'I .J'i�Pil_i T r EALiH (209) 468-3420 <br /> �lr'c.Fr'il(;FS PUBLIC RECORDS RELEASE APPLICknON <br /> Ienw <br /> APPIiCA!(T r� L ��� <br /> 13IJ51NESSJAGENCY S �Avr ma • C, 7" <br /> ADDRESS !(PfS2 �-o Oy&r { �I� . {O1] Vgfp , r✓}} Ql{gr{ <br /> I <br /> PHONE <br /> TENTATIVE'APPOINTMFNT()ATE 2 TDAE <br /> (PI&MR.give 7 to 10 buslne a Lays from data of applicaC+on suhMjjr81} <br /> r <br /> CHECK BOX TO EXFZDITE REQUEST:U7.00 FEE-REQUEST PRQCEssEn IN 3 RUSlNESS DAYS ! <br /> S1GNATURI; OF APPLICANT RAZE <br /> FILE A0:)MS5 <br /> THIS 31DE EttD STAFF IfSZ=ONlY <br /> Soft{, mePRDGRAIA F.L&MENTS SEARCH <br /> r - <br /> i <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDLRGb 0VND TANK fUSTI CLEANUP SITE(LOP) ❑ HOUSING ASATE)ARt4T Vf 50UD WASTE FACILITY <br /> OTHERCLEANUP SrTF(NON-L.OP) ❑ FOGp FAciLrrY ❑ 50EUDiNASTF'VEhICLE <br /> �( UNDERGROUND TANK(N0NITQRING1RF*WAL) ❑ DOG KENNEL d DAIRY <br /> ;Z HA7.AR0oUS WASTE 9ENERATOfZ 17 CHICKEN RANCH ❑ PKC;TREATMENT pLANT <br /> ❑ TIERED PERMaTEo FACtUTY O MOTEUROTPL 4 PUMPER TRUCWYARDA:* T0aXT,4 <br /> ❑ TA7'r0CVBQ0Y P1=IRCING GJ POOV$PA - o LAND OSLAFPUCATION snT:s <br /> ❑ MEDICArr WASTI;FACILITY D PUBLIC WATER SYSTEM 0 OTHER; ESPECWAB4VE <br /> 1. List uF to ten z►ddresses in the space above. Select the typo(s) of filer from the list above by checidng <br /> the appropriate box("). At least ono file type MUST be seiected, fax M{2D9)464-p138 0r mail to th0 <br /> ¢¢res^ in i•�:ated apove <br /> 2. EHO will nottty the applicant if any EHL) files exist. An appointment for review will be Gonfirrrled <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 fivO iausinaas days for review, AppointrriOnts:Should be scheduled <br /> accordingly. <br /> 3. A file that is aCtivety being worked on by EHp staff may nQt be immediately available for review. A new <br /> application may be Submittesi when the Pile is availabla. <br /> 4• Any{Ila nal returned in the same condition as released will be reorganized by EHO Staff at the expense <br /> of the applicant. Future file rayiews by the Same applicant may require a$$7.00 deposit pl for to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EMD staff, l <br /> 6. Applications received after 3.00 pm will be processed the next buslnes�; daffy. <br /> s <br /> CONFIRMED APPOINTMENT DATE TIME � <br /> DATE CONFIRMED <br /> PH9Nt FAX 1�f iALS <br /> REVIEWED YES NO f2lrUJE1N DATE i <br /> Trd'd T09I6685T�T Ol wo�u :JdQS:Ze T60 -SL-cO <br />