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FROM FAIP _.,r, HAIJEN � FAX NO. : 916 9627554 � Feb. 1J -1000 02:09PIh1 P2 <br /> 02-14-2070 Yow T2 19160627554 P.02 <br /> Z"LQG?1;^"ER <br /> SAY JOAQUIN COUNTYPLI13UC HEALTH SERVICES a C2 <br /> pp ENVIRONMENTAL HEALTH DIVISION <br /> z P 304 EAST WES ER AVENUF-THIRD FLOOR <br /> 6TOCKTON CA 96202 <br /> a. (209)4SB-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICWT ' kid t3il=C=A(WWY <br /> ADDRESS 77!p 5 �!s � v I�5 y $ <br /> pHoNt(q1�\4L?A-13."1 FACNILULE '} <br /> TENTATIVE 4 APPOINTMENT DAT12 TIME r' <br /> (Pl..Igiv&7 I*to bua ,ar as days hom dam Of applirutian a.&wt"1? <br /> �n K SOX TO FXPfDrr$Rl:{2UEt;7-376 43 F UM PROGta$SED Ih J BUSINESS DAYS ~r <br /> SIGNATURE OF APPLICANT DATE �����•� <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> SeUNDIMOROUND TA14K(t"CLEANUP 517r='(LDP) C] HOUSING ARATT;ML T in SOLID WAST£FACILE <br /> WOTHO: CLEMVP=6(NDNLOA) C FOOD FACILITY Q SdUrh WASTE VEKFCLX <br /> iV UNDEcMOROUND TANK t:l DOG MNNEI. 0 4AIRY <br /> Ga'RA RDOW WASTE 012NERATOR 0 CMCXiM RANCH IM PKo TKFJ VU1!W PLANT <br /> M 77 M0R rI I!bIRACU.ITY 0 MO'TELIHOTEL 0 PNMPkRTRurK/Y^R:w"wT<mE78 <br /> M TATrooraoOY PeiF" G C POOL&PA 0 LAX0 USI!APKJCAT20N WT" <br /> C7 MEDItAL WA3M 1=ACILrrY M PUBLIC WATER SYt37't M � of Kara(PiEABE sPIE'C1FY ) <br /> i. List up to tcft addresses In the sp;ice BYO. Uqc#the type(s)of IS les from the list above by chouldng <br /> the 4appr*0Ate box(e,4 At i6ast one fife type MUST be selected. For,j%J2,01RI,3or mall to tt1rt <br /> dress t alsav _ <br /> 2. END wilt notify the applicant if any END flies exist. An appointment for review will be confirmed <br /> approximately five buWneas days but no latar than ten(0) days iaftor receipt of aepplicatiom The ft-s <br /> will be held for a maxlrmm of five business days for review. Appolntments should be scheduled <br /> acconding(y. <br /> 3. A t+ile that Is actively being worked on by EHD staff may not be hmt»adlately.avallatble,for reviavy. Anew <br /> application rutty be submitted when the lite Is avallablo. <br /> 4. Any file not returned In tha same condition as releaued will be rearganlied by EHD staff at the expense <br /> of the applicant. Future file mviewys by the same applicant may require a$?AAA deposit prior to review. <br /> 5• "TENTH-nViw appointment dattets must be eonllffned with Eldd Staff. <br /> 6. Applicatfnna revolved after 3:00 ism will be processed the rmxt business dray. <br /> CONFIRMED APPOINT-MEW DATE TIME <br /> I DATE CONFIRMED p1I4NE FAX l,1trrL4LS <br /> i REV IEVVED YE.4 NO RZVIEW DA-M <br /> cx Do 14 0 <br /> r <br /> TOTAL F.02 <br />