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04-IG-2001 0 51AM 1925 P.01 <br /> Lkkfkt KliCe4Vr0 CksU L06 MMukst <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DMION <br /> 344 EAST WEBER AVENUE,THIRD FLOOR <br /> 'i <br /> APR 1 72 0 0"� STOCKTON CA 9M2 <br /> (209)46+8-3420 <br /> �,I;�!;,: ; t,`-p,►_i H <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> FC.�, "iT SFR <br /> APS r V4tC14 TI C C1N5 7&.1.71( <br /> S`U�SINEWA(�GErN�C_Y <br /> WeW 5 �RADDRES <br /> .t�C. <br /> 'Z �j ry <br /> PIiCNEfl P1+CsiM 2001 <br /> TENTATIVE"APPOQITMENT DATE �`CIO TIME <br /> (P gave T 10 bunkw=dqx from data of application subirdnol) <br /> CHECK Box Td EXPEDITE REQUEST-$V-40•FFE£-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNA''URE OF APPALICANT • DATE <br /> FILE ADDRESS TM SIDE EMP STAFF FSE ONLY <br /> PROQIRAM ELEMENTS SEARCH <br /> FN r S, Calk Ref L hr&4Cd W N.c. <br /> a C -236,1. ,2 99 .23o ao bo Z 0,230 /600,/4/: <br /> 7 l4, <br /> Fri C y 9 6,e <br /> 95to 399 oi, 023 1,2,a34 <br /> Z S. S- 4 ��28 B! 399 <br /> trAi <br /> — <br /> 4 i G/ a?3 ?30l X303 e� oy� z3o 2 o Z �O,Z,$x <br /> t4 C 9Z S G 3 8 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> P <br /> DERDROUND TANK(US7)CLEANUP SITE(LOP) G ROUSING ABA T ,OLID WASTE FACILJ Y <br /> R CLEANUP SITE(NON-LOP') 0 FOOD FACILITY ;SOLID WAVE VEHICL'E AFF, L 3OERGROUND TANK(MONIT0134"REMOVAL) P DOG KENNEL C1 DAIRY <br /> DOUG WASTE GEreERATOR D CMCKEN RANCH L3 PKGTREATMMT PLANT <br /> RED PV MMr;D FACILITY ❑ MOTELMOTEL Q PUA1IPERTRUCK1YARMHIa1TOlLET8 <br /> TATTOOODOY PEIRCING O POOL13PA a LAND USE APPLICATION SITES <br /> ❑ MCDICAL WASTE FACILITY 17 PUSUC WATER sY3TEM Q OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addre4'ses.in the space above. Select the type(s)of files from the List above by checking <br /> the appropriate box(as). At least one file type MAST be selected. Fax to(2QM 464-� 111217 11 to tlg� <br /> 2. EMD will notify the applicant If any EMD tiles exist. An appointment for raylow will be confirmed <br /> approximately five business days but no later than tan(10) days after receipt of application. The files <br /> will be held for a maximum of five busines$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 now <br /> appllcati®n mal/be submitted when the file is atvailabio. <br /> 4. Any fila not returned lit the same condition as released will be reorganized by EHD staff at the azpenre <br /> Of the applicant. Future file reviews by the San"applicant may require a$87.00 deposit prior to r®vlew. <br /> 5. 'TENTATIVE appointment dates mus be confirmed with E O staff. <br /> 6. Applieutions mcolvait after 3;00 pm wIll be processed ow next business day. <br /> i <br /> i <br /> CONFIRMED APPOINTME14T DATE TIME <br /> HATE CONFIRMED PHONE: FAX INITIALS <br />