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ditto I �. tMD LL%i K <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVIUE,$ <br /> aNVIRONMENTAL H1~ALTH DIVISION <br /> 3(X EAST W23ER AVENUE,THM FLOOR <br /> STOCKTON CA 85202 <br /> (209)4U3-3420 <br /> PPB.0 RECORDS RELEASE APPLICATION <br /> APPt ICaNT � I SUSINESSIAGataCT P t�I fV�!(�J71�, j •�> vl r �, . <br /> rt�r�ss `� �7to <br /> 1'f 8-35169( � `�1 <br /> tTEN-TATIVVL—APPOIkTiwuEti'TbATZ <br /> _._.,1Q_U Q` •0 O"' E <br /> (Pk-arc give 7 W 10 busirmz.Oays frwn date of zPPR"tiaq Sttbsaitta) <br /> CHECK 130X 7Q EXPEDITE RERt7E T=347.00 FEE-REQUEST PROCESSED faI s Buuv <br /> sEss DAY$ <br /> I 10/40 <br /> SIGNATURE OF APPLICANT DATE <br /> FIL� <br /> rKts SM,Mb srAFr=use out,Y��— <br /> t PRMRAM ELUENTS SEARCH <br /> i <br /> 1 <br /> i <br /> I <br /> ENVIRONMENTAL HEALTH 01VISION FILES <br /> URDERGRODUD TANK(UST)CLEANUP SITE(LOP) © HOUSING ASAWMENT 0 SOLID WASTE FACUM <br /> T}tEii CL&ANUP SITE(t1W1 L E?p) a FOOD FAQLItY CI aot.ID WASTE VEHICLE <br /> UNO vFtGROUNsa TAtiK(I160NITi)RINGIR UEf)YAiJ a DOG KENNEL 0 DAIRY <br /> ifA7ARpU1JS kVASTB GEttERA7t)R Ct CHICKEN RANCH o PKG TREATMENT PLANT <br /> Q T1EEtECI Pt:RtVIETII:P F11C1LSTY IMDT'EUMCG TEL a PUMPER TRUCKIYARDICHEM TOILETS <br /> O TATCOQW17Y F=CING I d POOLISPA • - CI LARD USEAPPUCAT"►TrE$ <br /> Q MEDICAL WASTE FACUJV { D PUBLPCC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> i <br /> 9, list up to ten adds+ SSCS in the space a boYe. Select the type($)of files from the list above by Checking <br /> the appropriate boz(es). At least one file type MUST be WoCtatf. Fax to f2091464-0438 or maV to the <br /> adt�Yess.indiC3tetl 1lISOve. j <br /> 2. EHD will notify the�applicaht if any EHD ffle5 w0st. An appointment for revic!w will be eonfaTned <br /> approximately tiye lbusiness clays but no later than telt(10)days after receipt of applit ation.'The files <br /> will be held for a miaxirmulrt of rive business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3- A file that is atctiveV being;Worked on by EHO staff may not be imtnetl aWly available for reYicw. A neer <br /> appllcatioa may bejsubrrth9W When the file Is available. <br /> 4. Any file not returnccl in thi same-condition as released will be reorganized by EMD staff at the ekpease <br /> of the applicant_ F> Ibre file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment'slates must tw confirmed with EIiD staff. <br /> 6.. rApplicMatiorlS tec:eiKed after 3:00 prim will be processed the next business clay. <br /> GUNFIRMED RPPOiNTmEuT DA�E TIMET <br /> i <br /> DATE CONFIRMED I PHONE FAX MiTWLS <br /> F� LS ED YES � No REVIEW DATE <br /> 4a.. owYroo i <br /> TOTPL P.01 <br />