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2006 1". 53 FAX 11002/002 <br /> SAN JOAc ULN COU-INTY <br /> E�l-�'YROLN-tliENT.0 aEALTji'DZPI�_RTNmF�NT <br /> 0 (0 304 E W�-bu Ave 3`� Floor- 5tockion, CA 95205 zg <br /> (209) 46$-3470 F3y: (209) 4654_0138 Vat• w�v.v.eo_San-joa uin. <br /> a.Li&'--Dd <br /> PUBLIC RECORDS RELEASE-APPLICATI <br /> INESSIXGENCY <br /> ZESS: <br /> FACSIMILE: <br /> i, <br /> T=_NTATIVE' APPOIN 7AENT DA IF; , #i . <br /> (Pleaic allow 10 birsinc_-- day:from data cf;4ppliralion sutnnitml) <br /> CHaCK BOX TO EX.PEOrrE REQUEST-$93,00 FEE_REQUEST PROCESSED IN 3[3U;INESS DAYS <br /> NATURE OF APPLICANT 4 L_(' �t � _,,.,,,.._...... � .17A`'1; <br /> Dcpartmont Use only <br /> FILE ADDRESS LiNtT <br /> �g. /�i E G unit I= _:,Imes , -7 4(x5. 1�'T�••_L_ f] <br /> l iclit l <br /> clrt <br /> 7 <br /> . <br /> reit 5 <br /> t <br /> 13, 5e.,eet Cri �r. � <br /> ENVIRONMENTAL HEALTH DEPARTMENTFfLEa <br /> I <br /> . r <br /> UNE)ERGROUND T WK (U5T)CL.P.A,"EU('5rr-c(LOP) 0 fEOtiSING P$A,TSMeNT 2L.:StauD WASTE FAM.1-171-Y <br /> OTHER CLEANUP VrE (NON-LOP) CI' FOOCI FACIL rrY Q 54LtE3 WAST1*V@FiICLE I, <br /> UNDERCROUND TAMC (MONITORiNGfREMOVAL) 0 OQG KENNEL LEI— DAIRY <br /> NAT_AADOiiS wAZTE GENERATOR 0 CHjCKGN'RA?iCH 0-PKG.TREtiTMENT PLANT <br /> 'nER0 PERF�liiiED FAG3LM 0 lr O ELTriOT5L 10 P£.2MPER'L-rWC,ryA;7K»NE?d TOIL�s <br /> E= <br /> -rA.TTrOOMOOY PJERC1rtG C3 PQOLMPA V. LAND USE AF�PL1Cll�: PI.SR"r <br /> MEDICAL W,[l aTE FACK.7"f C1 OTHER(PLEA 5E jPCGIF�wM �.. r �--• ---- <br /> Li�t up to ten addresses in the space above. Select the tyPels) of;ties fr m tine !i:>t b Va by checking <br /> thr,0 <br /> the appropriate boz(e }. At Icxst one; file type MUST bc'seier_tcd..�-T, x to 20) 64.,_3ti 6r ma, to ih <br /> address indicated zbo,Ye. <br />. r-HD will notify the applicant if any FHD ftieS exisL An appointment for fEwvi_,rr will bff confirm,-d <br /> apprpxiMUtt:iy five business days but no later than tcrl (10) day:, after receipt of application. T he F1105 <br /> will be held for a maximum of five busires3 days. for-rcvjew_ Appointrmnnis ;hauid be schcdt;led <br /> accordingly- <br />_ Af'r€e that is actively being worked on by 1rHO staff--maY rant I;e in- nacdjzr DDj{ avallable for review. A-I)OW <br /> application may be submitted when the file is availably.. <br /> Any file not returned in the same condition as'released will he raorgani ee by D teff 7t the expense <br /> of the applicant. Future File reviews by the same applicant may reauir e a 593.00 deposit prior to revle�w. y <br /> i. 'TwN T ATTVF_ appointment states must be confirmed with EHO .Sta'-f. <br />;. Applications received after 3.00 prn will be processed the next bu::Iness day. <br /> I <br />