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-io/30/2600 22:20 2094bH FIFTH FLOOR Sv <br /> SANJOAQUIN COUNiTYPUSLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION. OCT 3 0 2000 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 85202 ENVIRONMENT HEALTH <br /> (200)468-3420 PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT gL15Yf1ES5fAGENCY__ <br /> ADDRESS <br /> FACSIMILE_ <br /> PHONE ' 5 <br /> TENTATIVE*APPONTLW-INT DATE <br /> S TIME <br /> (plda�e dive T to 10 business days from data of application st�)anittaf} <br /> EROC <br /> CHECK BOX TO EXPEDITE REQUEST-38T.00 FEE—REQUES <br /> IS�SED IN 3 BUSINESS DAYS <br /> DATE <br /> SIGNATUR3-OF APPLICANT _ <br /> THIS SIDE EFFHD STAUSE ONLY <br /> FILE ADDRESS VROGRAM ELEh1ENTS S CH <br /> \ 5 +a 1. Z <br /> qt _ <br /> to <br /> �p nJO <br /> IENVIRONMF-UTAL HEALTH DIVISION FILES <br /> ❑ HOUSING ABATEMENT ❑ SOLID WASTE FAGIL <br /> UNDERGROUND TANK(UST}CLEANUP SITE{LOP) d FOOD FG ABATILrTy ❑ SOLID WASTE VEHICLE <br /> Q OTHER CLEANUP SITE(N:ON-Lop) CI DOG KENNEL ❑ DAIRY NOV LUU0 <br /> _,UNIDERGROUNDTA14KyAONITORUlGIREi�iDVAL} ❑ GHICKEAIRANCH d PKGTREA7LfENTPLANT <br /> E3 HAZARDOUSwASTEGENERATOR ❑ I,IOTELIHOTEL ❑ PUh1PERTRUCKIYARDICHEAi'F01LET9 <br /> la TIERED pERrAI TED FACILITY ❑ POOi1SPA `, ❑ LAND USE:APPLICATION SITES <br /> Ct TATTOQUODY PEI RCING ❑ pUgUC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY DOVE) <br /> 0 h1EDICAL.WASTE FACS <br /> 1, List up to ten addresses in the space above. Select the type(s)of tiles from the list above by checking <br /> the appropriate box(es). At least one file type MIDST be selected. fax to(7491464-0't38 or mail to the <br /> address indlcated above. ointment for review will be confirmed <br /> 2. EHO will notify the applicant if any EHD files exist-but no later appointment <br /> #hon ten ('f0)days after receipt of application. The files <br /> approximately five business da s . <br /> days for revievr..Appointments should be scheduled <br /> will be held for a ma)dmum of five business <br /> accordingly. ot be immediately available for review. A new <br /> 3. i0.file that is actively being worked on by ERD Staff may n <br /> application may be submitted when the file is available. <br /> III be ed by EHD <br /> at tho expense <br /> 4. Any fife not returnFuture e f IQed in the s reviews ews by ame the same pon as pl <br /> d vy <br /> of the applicant. cant may require�a$37.0 depositpi or to ravlew. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> S. Applications received after 3:00 pm will be processed the next business day. <br /> r - <br /> -TIME <br /> CONFIRMED.APPOINTMENT DATA <br /> PHONE FAX. INITIALS <br /> DATE CONFIRMED _----- . <br /> ATE <br /> YES NO REVIEW QaTE <br /> W <br /> DI P6 14 M07KU <br />