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XAL -2`i' 01 (I'UE) 0':44 Kia GO' 1i 1410ir lir i>;L��u'� 'Ji ' ill r. Ut+1 <br /> 05-29-20011 TE:33H1�1 FR TO � 9320610 P.01 <br /> �.+.—n..a.�sMt.l LIIIJ l.Vb NUIwI.LR <br /> SAN JOAQUIN OOUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WE13ER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICAhl B USINESSIAGENCY <br /> AL7DRGS3W <br /> PHQptE [�(0l7 FACSIMILE 0 w CJ <br /> ED <br /> TENTA iiVE'APPOI TfdENT DATE=S)S;ki2 _ TIME <br /> (Please peva 7 co SO/b'usiness{lays from daL@!of application submilW[) <br /> CH94K BOX TO EY?EDITE REQU E x7.00 FEE R QUEST PROCESSED IN 3 13USINUS DAYS <br /> SIGNATURE 0 PPL(CANT rt DATE,L"- 1 -O.1 <br /> _ I <br /> FELE ADDRESS THIS SIRE END STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH If <br /> Ll <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 13 UNDERGROUND AIXK(UST)CLEANUP SITE.(LOP) 0 HOUSING ABATEMENT OLID VV 5TE FACILITY <br /> ❑ OTmEA CL.EANU SITE(NON-LOP) 0 FOOD FACILITY 0 SOLW WASTE VEHICLE <br /> 12 UNDERGROUND ANK(MONITORING/REMOVAL) Q DOG KENNEL O DAIRY <br /> C3 HAZARDOUS'NA TE GENERATOR t7 C14IC:KEN RANCH Ci PKG TREATMENT PLANT <br /> 0 TIERED PERMTTT 0 PACIL)TY q MOTEIIHOTEL © PUMP ER TRUCK/YARDICHEM TOILETS <br /> 0 -rATTQQIBODY P IRC(NG POOL/SPA - - D LANO USE APPLICATION$rTM <br /> 10 MEDICAL WASTE FACILITY ❑ PUBLIC WAYeRSY$TEM 0 OTHER(PLEASE SPECLFYABOYE) <br /> 1. List up to ten addresses in the space above. Saing the type(s) of files from the list above by checking <br /> the app opriate box(esi. At least ane title type MUST be selected. Fax to 2091464-0138 Or mail to thq <br /> ddres indicatecl above. <br /> 2. EHD wi I notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approxi ately five business clays but no later than ten (10) days after receipt of application. The file$ <br /> will be I ield for a maximum of five business days for review- Appointments should be scheduled <br /> accordi 9ly- <br /> 3. A fife th It is actively being worked on by EHD staff may not be immediately available for review, A new <br /> aPpllca lvn may be submitted when the file is available. <br /> 4. Any file not returned in-tl7je same conc3ttfon as released will be reor anIzed b <br /> of thea plicant. Future file reviews by the s2 me applicant may require a$87,p d�p it start pcior to ecview. <br /> 5. *TENTATIVE appointment datc$must be confirmed with EHD staff. <br /> 6- Applica ions received after 3:OQ pm will be processed the next business day_ <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRME D <br /> E PHONE FAX <br /> INITIALS I <br /> I REVIEWED YES NO _ <br /> - - REVIEW DATE <br />