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01/31/2031/ 13:28 II 4 401ENVIROhMENTAL _TH PAGE 01 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES gl�'�oF„uM�n <br /> F F S Oil 'LOi)3 V ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOk <br /> STOCKTON CA 95202 I <br /> (M)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLiCBUSINESSiACE.NCY_ <br /> AUDRE s <br /> PHONE ['�(U - �3�-- (� FACSIMILE (►i_b r 33'1 �lqq _..� <br /> TENTATIVE" POINTME14TDA-rET Io <br /> TWE <br /> atcY � <br /> (Plaaso Vivol to 10 b Wlr daY3 rrom ontnno of appllcallon subntlltall 1 J <br /> eSi . <br /> CHECK BOX TO EXFIED REQUEST-;89.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> Qn <br /> E <br /> J i1'•�iJ r <br /> StA Rl:OF Af'FTL(C, AIT (GG. pArlr ' <br /> �" Gr�I <br /> rw.w�er•._..��l�im.�ga0 ■i■ e�� - - �r��.��la� rwfrl._.da�..-..r <br /> i FILE ADURC33 THIS SIDE EHD STAFF USE ONLY <br /> _ PROGRAM 6LET+ UNYS SQARCt1 <br /> �LLY' 'q"O. 11 0 S f h� do <br /> �. b e'* E —X ,/ <br /> lVILA ad07 W r <br /> • tLlVlU l)ST '/ <br /> v <br /> a I Yt0 l-1 Vv <br /> K U S6o t}YI/ <br /> floam <br /> _ l _ <br /> ENVIRONMENTAL HEALTH DIVISION FiLES <br /> UND-RCROUNP TANK(US')CLEANUP$ITE(LOP) 0 HOUSING ASATL-MENT O SOLID WASTE FACALMY <br /> Q OYHEli CLEANUP SITI5(NON-LOP) O FOOD t`ACILTTY d SOLO WASW VEHICLE <br /> ," UNt)"ruROUND RI <br /> TABiC(MORITONG/REMOVAL) 0 DOG,KENNEL C3DAlRT <br /> Ae HALAROOUS WAS'T'E GENERATOR 0 CNiCk(Ek RANCH O PKTS TREATMENT PLANT <br /> CL YtE•Rr;D PERMITTED FAC O MOTELAiOTEL 0 PUMPER TRUCKIYAROICHEM YOiLUTS <br /> O TAxtgMODY PEIRCT>'{G 0 POCIUSPA d LAND USE APPLICATION SITES <br /> Q iAM AL WASTE FACIL.ITYI O OTKIeg(PLEASE SPECIFY AUOVE) <br /> 1. List up to t-on a dresses in the space above. Soiect the type(S) of rites from the list above by chocking <br /> the appropriate b0x(cs). At least one filo typo MUST be selected. Fax to (209) 464-0138 or mall to the <br /> �- address inclil:at d a ve- <br /> 2. EHO will notify o applicant it any•EHD riles exist- An appointment for roview will be confirmed <br /> approximatoly f1vo business days but no later than ton,(10) days after receipt of application. The riles <br /> will be held for maximum of five buslnass days for rcvlew, Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Js,act vciy bo(rig worked on by EHD,stafr may not be Immediately avallablo for roview. Anew <br /> application Ina be.subrnitted when the file Is available. <br /> a. Any file not returned irk the same condition as,relcasod will be roorganized by EHD staff at the exponse <br /> of the appllcan Future fisc reviews by the same applicant may requiro a $09.00 deposit prior to review. <br /> S. 'TENTATIVE ap�olntment dates must be cff. <br /> onfirmed with EHD sta . <br /> Ti, Applications IC cived attar 3:00 ILm will be processed the next business day. <br /> Past-it°Fax Note –7671 ° (.. D ps9ws► <br /> CONFIRMED SPP INTMENT DATE, Te rrom <br /> � CoJDepL Co. <br /> DAYSONFIRMI}D <br /> Prla1+RPnorw a a 3y <br /> REVIEWED Y S NO sxN 61d Fnxr ,� <br /> Zoo/Z0o'd T96T4 IdSNIR'dD sxn 661ZL££OT9 LD:91 £00Z.90'933 <br />