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,s<re.z,:;n� ewiwwu+cr� ,b�J7 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER"AVENtft,THIRD FLOOR <br /> ST"KTON CA 9SW2 . o moody <br /> (203)4e8.347.o p, <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APFUCANT 1 p1ry6:161NE9WAGENGY�7 <br /> ADDRESS 1 `�pYpY1p�[A\71�� O'{C F j $ CA <br /> FNONE '-lO�a FAGSLj1lLE �.�J ✓S! <br /> TENTATIVE'APPO9N'FA1LNT DATS 10-16'CfJ TWF <br /> ipL.'.6+o 7 to 10 palmae day,from date of appi'�atfon au6mittat) <br /> El CIiECK 6O%TO EXP60rrL rl`cQS1raST- £E-RE ?AOCEaSED IN 41 1 Y8 / <br /> S1pNATURECFAPPLICANT DATE <br /> FLY A=MSS TKS FREE Ey1O STAFF USE ONLY <br /> PRDORAfl ELEME=W-ARCH <br /> -sl—�ao tA�w fG) t i� <br /> 4 w 9 Ci <br /> p1j, 4 { <br /> j <br /> I <br /> ENVIRONMEhiAL HEALTH DIVISION PLEB <br /> LA UNDZRGAGUND TANK(VST]CLEANUP ai:C(LOP) C 110i.MIiG AHATENENT 0 SOUDWASTE FACILITY <br /> G Tt1NDrA C ZANUP 31TE(NGNdAP) M FOOD FACILITY n sWU WAST5VEH1= <br /> tY DERG R"ND TAN K(L�ORROAI'M PU0VAL) O DOG KENNEL D DAIRY <br /> C HAZARDOUS WAST£GFNI2PATOR 6 CHICKCN RANCH B PK3 TREATAMUT PLANT <br /> ❑ TIERED PFRW.7 En FACILM ❑ MOT2l.'HO7EL O Ft1MPER TKUCK/YAADICHFH TOLLTS <br /> C TATIOOSODY PEiRCING In POOLrSPA 0 LAND USE APPUCAttON SrrU <br /> C ISEDICAL WAS7E FALL!. ❑ FUUL17 WATER SYSTEM. M OTHER(PL&A8E SPECIFY ADOVE) <br /> t• _iot up to ten Eddres9Cs in the space above. Select the types)of files from the list above by CheCxtag <br /> the appropriate box(eG). At least one File type MUST be selected. Fax`g.17Q9�464-0•j 8 or mail to the <br /> adk dregi IndlcaM ai vv <br /> 2. EHD will notify the applicant if any EHO frJeS exist. An appointment fur review will be confirmed <br /> aparoxtmateiylive t:A aness days but no later than ten(90) days after receipt of application. The files <br /> will be held for a roaxirru m of five buaine"days for review. Appointments should be schaduied <br /> accordingly. <br /> 3. A file that Is actively being woi'KW on by EHD staff may not be immediately available for review_ A new <br /> application may he submitted when the file is evailabig. <br /> 4. Any Ilia not returrltd in the name condition ail released will be reorganized by EMU staff attne expanse <br /> of the applicant. Future file raviows by the Fame appticant may require a S71&00 deposit prior to review. <br /> 5, `TENTATIVE appointn"date:must be confirmed with EHD staff. <br /> Q Applicatlorts received after 3:00 pm will b2 processed the next bcalncsa day. <br /> ["MED AP?OIH173ENT DATE TIME <br /> DATE CONFIRNED PHONE FAX INITIALS <br /> MIL-- YES NO REVIEW DATE , <br /> t9 VJSKV TOTre 11•01 <br /> 1d AdCE:SO 0002 178 '"f00 £886 8£8 601 : 'Ct4 3yOHd s?shie,-4j o aZ puno. q 14062 <br />