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A'Tr JOAQUIN COUNTYPUBLIC HEA M 4ERVIC <br />ENVIRONMENTAL HEALTH D. VWIIN <br />304 EAST WEBER AVENUE, THIRD PLOIN <br />STOCKTON CA 95202 <br />(209) 468-3420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />CAC <br />APPLICANT r 4 1S BUSINESSIA'GENCY e a IV <br />Z< <br />ADDRESS U27' &I <br />Y 7 -3 — C <br />pHONE L,,'Apl) 137 - -2 31.6 FACSIMILE '3 '7 <br />TENTATIVE* APPOINTMENT DATE ME <br />(Plante give b <br />01a WO <br />its R cation submittal) <br />CHECK Box To EXPEDITE REQUEST - S T P rN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT rG4'-� DATE <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />V' 4AW\\. <br />0 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) 13 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br />0 oTwER CLEANUP SITE (NON -LOP) C3 FOOD FACILITY 0 SOLID WASTE VEHIC;LF. <br />13 UNDERGROUND TANK (MONITORING/REMOVAL) <br />0 DOG KENNEL C3 DAIRY <br />(3 HAZARDOUS WASTE GENERATOR 13 CHICKEN RANCH 8 PKG TREATMENT PLANT <br />13 TIERED PERMITTED FACILITY 0 MOTEUH07EL 0 PUMPER TRUCWYARD/CHF.M TOILETS <br />P TATTOGIBODY PEIRCINGC3 POOLJSPA 9 LAND USE APPLICATION SITES <br />y <br />0 MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 0 OTHER (PLEASE SPECIFY ABOVE) <br />1. List up to ton addresses in'the space above, Select the type(s) of files from the list ab9ve by checking X <br />the appropriate box(es). At least one file type MUST be selected. Pax to (2091464-01 or mail to the <br />address indicated above. <br />2. EHD will notify the applicant If any EHD files exist An appointment for review will be ronfirtned <br />approximately five business days but no later than ton (10) days after receipt of appllq:P*tion. The files <br />will be hold for a maximum of five business days for review. Appointment$ should b�Scheduled <br />accordingly. <br />3. A file that is actively. being worked on by EHD staff may not be immediately available for review. Ane <br />4. application may be submitted when the file Is available. <br />Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br />of the applicant. Future file reviews by the same applicant may require a $89.00 deposlt prior to review. <br />5. *TENTATIVE appointment dates must be confiraied with EHD staff. <br />6. Applications received after 3:00 pm Will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE <br />DATE CONFIRMED PHONE PAX INITIALS <br />REVIEWED YES NO REVIEW DATE <br />Z/Z 668d !89:91, Z0-LI,-A8V1 !Z613=660Z !sNuom#on9nd#N01)i3018#J0#A1I3 :AG ILJOS <br />