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7A.•1�HrJ.'c:v r� <br /> SAN J UIN COIJNTYPU13LIC HEALTH LwAVICES o., <br /> 1 <br /> ENVIRONMENTAL. HEALTH DIVISION 1 <br /> Ana FAST w1rgER AVENUE,THIRD FLOOR <br /> STOCKTON CA 9520.2 7 Z <br /> (209)488-3420 <br /> PUBLIC RECORDS RELEASE APPLICAT[04"VIp',�fV,OO NI' r-,�-A lH <br /> APPLICANT 1 M{ eX-- BUSINESSIAGENCY r^ -e,5 <br /> ADDRESS l V v <br /> PHONE FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> (Pt@ase give y to 10 business days from date of application submittal) <br /> Q CHECK BOX TO©GPIEDITE REQUEST-$$7.00 FEE-REQUESTPROCESSED IN 3 BUSINESS DAYS <br /> SIGRATURE OF APPLICANT �f3T�l DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 303 I 3629 <br /> 145 <br /> G 1 e Iwir ,�S.2rp <br /> loot E. <br /> r <br /> 35,a4 <br /> moln <br /> • 0 �. 1h3s.a9 Pz9.4o ;.. <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> -til—UNDERGTtOl1ND TANK(UST)'CLEANUP BITE(LOP) I7 MOUSING ABATEMENT KSOL1I3 WASTE I=ACULM <br /> OTHER CLEANUP SITE(NO LOP) 0 FOOD FACILUY 0 SOLIO WASTE VEHICLE <br /> UNDERGROUND TANK(MUNITORINCAl ZfXOVAL) 0 DOG KENNEL m DAIRY <br /> .$-HAZARDOUS WASTE GENERATOR D CHICKEN RANCH Q PKG TREATMENT PLANT <br /> Cl TIERED PERMITTED FACILITY 0 MOTEt.1HOTEL © PUMPER TRUCKIYAR0JCHEM7OI1LETS <br /> M TATTOOIRODY PEIRCING 0 POOUSPA - - .E q--LAND USE APPLICATION SnT-s <br /> © MEDICAL WA$TE FACILITY %jQ;NA S1f5TENl;+ CJ OTHER(PLEASE SPECIFY ABOVE) <br /> 4. List up to ten addresses in the space above. Select the type(s)of files Bram the list above by checking <br /> the appropriate box(es). At least one file typo MUST be selected. Fax to(209)464-0938 or malito thQ <br /> address indicatod ve. <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 geld 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 whan the elle 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 applicartt Future file reviews by the same applicant may require a$81.00 deposit prior to review. <br /> 5 'TENTATIVE appointment dates trust be confirmed with EHD staff. <br /> 6_ Applications received after 3:00 pm wiU be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INI7lALS <br /> RFvir- VFn yF.4 Ndl 121=v2lr-UW nnr12 <br />