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DwiE RECEIVED ., '1r� UO LOG j4VM 3EIk <br /> f' �- SAN JOAQUIN CUUIVTYPUBLIC HEALTH SERVICES /� <br /> ENVIRONMENTAL HEALTH DIVISION 40 Jt <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> AUG 2 4 2001 <br /> STOCKTON CA 95202 <br /> (209)488-3420 <br /> EP�VII': i t�� =��i H PUBLIC RECORDS RELEASE APPLICATION <br /> 1 <br /> AF JCANa' IM mI i(c,_� 4t a BUSINESSIAG,ENCY COM4. <br /> l Ov t 406v't'L C�..kvL o Lo <br /> ADDRESS 1#�$ Pro-1-114 W i- mow.: f.-_ T---, SJ:R.Le-4--t,�. . �, 9S2Q <br /> PHONE FACsmafLE 20 i°t— 2 3'4 _ O 5'I$ <br /> TENTA71VE'A»PomTmiEmrDATIE 8/3ob.ao 1 TIME & 0 S e> AM <br /> {Please gfve 7 to 10 buslifess days from date of application submittal) <br /> CHECK BOX TO EXPEO M REQUEST-$87.00 FEE—REQUEST PR CESS IN 3 8USINESS DAYS <br /> SIGNATURE OF APPLICANT DATE ` <br /> A <br /> FILE AWRESS THIS storm t lib STAFF USE ONLY <br /> PROGRAM FLEMENJ rS SEARCH <br /> 2� �n <br /> O �- <br /> ENVIRONMENTAL HEALTH DIVLSION FILES <br /> DERtiRC7UN1> TANK(BLAST)CLEANUP SITE CLQ') 0 HOUSING ABATE E91' A SOLID WASTE FACILITY <br /> �rifFR CLEANUt'SrTE(Nilly-•LOfj 13 FOOD FACtLrry 0 SOLID WASTE VEHNC U <br /> UNDERSRO�UND TAb1K(MONtMRINGIREMQVAL) . 0 DOG KENNEL C7 DAIRY <br /> G HA7JIRDOUS WAVE GENERATOR © CHICKEN RMC" 0 PxG TREATNYi.F a PLANT <br /> 0 TIERED PETIN11IT U FACILITY ❑ MOTWHOTEt_ b PUMPER TRUCIC/YARDICHF.M TOILETS <br /> 9 TAT fuCW0ODY PEIRCING 17 POOLISPA '' M LAND USE APPLICAT00N SLATES <br /> Er MEDICAL WASTE FACM-11Y ❑ PUSUC WATER SYSTEM Q OTHER(PLEASE SPECIFY ABC3Vt=] <br /> I. List up t%)ten addresses in the space above_ Select the types)of files from the list above by checking <br /> the appropriate bofc(es), At least ane file type MUST be selected. Fax to 209 4(4.- or mall to the <br /> ad[tress indicated phove, <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maidmum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO staff may not be immediately available for review. A new <br /> application may be-submitted when the file is available. <br /> 4■ Any file not returned In the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant'. Futulre file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates trust be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE _.. . TIME <br /> DATE CONFIRMED __ PHONE FAX INITIALS <br />