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ux�w r;us.Zvaa eru;it,u a:.t�klt <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICF-S <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBM AVENUE-MR 0 FLOOR <br /> STOCKTON CR 06202 <br /> {209)46&3420 r <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AI7f;7REJL5 <br /> FHONE -- <br /> TENTATIVE*Aare-3kxTMWT PAIL 7iwlE - <br /> (Plazaa give 7 to t0 1;�i:. rwwn days trpm Cau of application 3V,?MMAQ <br /> Q CEECK BOX TO EXPEWTE f2E"EST RA E- ST PRGCP-55E9 tN ESS GAYS <br /> SIGNATURE OF APPLICANT' DATE <br /> P!!S ADDRIE.33T7.EI5 DE Ei4t]STAFF U E ONLY <br /> JPROG1riA15t>_LJc111EA17S SEARt:1{ , <br /> 6> ) <br /> a43.Wa 2 <br /> i <br /> "i nRONMEN'TAL mlzAom DIVIVON FILES <br /> �, U eRGROUND'TANK IuQ-:J CLeAtmi,31TE(LOP) Cl HOUSMG ASA'rfMENT Q 5QUP WASTE F�Gt�ITY <br /> ER CLP.J�u?SrM UNGN-40P) D FOOD FACUJW G SOLID WASTE VEHICLA <br /> �1 VNDZRGRQWmD TAKK jM0Nrr0R:Nr0MF,+OVAL) Q P"KENNEL 0 FAIRY <br /> 0 HAZARDQUS WAST-GENERATOR d G=KPM Ft,}Nem O r"TRCATIWENT PLANT <br /> Q TIFMQ PEPUITSFd FACJLr" 0 Wolreu.'tiQ`", Cl PLW?ZRTi V=TAARf3 tWM704.ETS <br /> 0 TATrowoby M' ,JR(mri 8 POOL/SPA M LAND Wir;APPLICATION$RTES i <br /> MZDLCAL WASYE FACILITY 0 pV5%.IC NATER SY=?4 0 QTHr.R FLEA$E 3PIrCIFT ADCvr) <br /> . I <br /> 1. :irt up to ten addre.,aes in the space above. Select the type(9)Pf f'W5 tram t�list above by cheCMD9 <br /> the 3pproprlate box(eas <br /> S). At! st one file typ9 MUST be 5cle�ted. 1=ax to(2Q0)464-0118 or m8if_t2th <br /> rli vg- <br /> 21 EHA will notify the applic=t if any EHA files exist. An appointment for review will he C4nfIS3't od <br /> appnc� rnataly flYa pusinass:days but stip tater than ten(9 0)days after receipt of application: Tt'Ie files <br /> will lane held for a maxitnum oT itve business days for review. AppDlntments should bC 5Choduled <br /> accordingly. <br /> 3. A file that is activcly being woWao im by l:H0 6tafF may not be knukedictcly aya able for reylew..A new <br /> app:ecation m+ty he-submitted when the file is svaitable. <br /> A. Aly fila not reWrnGd in the**me condJaon as released will be renrganb d by Eme swff at the expense <br /> of the applicant. Future flte reviews by than came applicant May require a$78.40 deposit prior to review. <br /> 5, 'TENTA-rWE appoinrn*nt dates must 170 confirmed with END.staff. <br /> Jit. AppltcaWns received atter=0 pm will be processed the next business day- <br /> CONFIRMED APPOINTMENT I ArE �r THME _-- - — <br /> . DATE CONFIRMED _ PHONE FAX IMIY[wLs _ � <br /> REVIEWED YES No REVIEW pA-rE <br /> c,w,. vivax --- TOTAL P-01 <br /> i <br /> k <br /> Zd WdST:20 000Z £Z 'EFW 2886 828 60Z : 'Chi 3NDHd 5 taFi j" d.LaZ punv.lr,1 Wodi <br />