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'FRO 1,Geo Phase Er irrrirnenta*. FAX NU. : 2F95690295Jul. ��i �i3UI O�': <br /> ]�V. 11 �I �i Ili f'-'. uioia:rrot+e 1�1� <br /> c 5 JOAQUIN COUNTYPUBLIC HEALTH SEES <br /> n �J 1 ENVIRONMENTAL HEALTH DIVISION <br /> JUL 3 1 20 5� 1 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468.3420 <br /> F !=`"'::i ` : ,' •i;FS <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT S5i'✓f' ry,�i'�i°rtdrL BUSINESSIAGENCY !/H!!S �Md�AC7W-ire <br /> ADDRESS aV7 (fent ze aW f�',dC 1, MPEG 1U.-, <br /> PHONE_ 6_�Q� FACSIMILE.- 6� 5 <br /> TENTATIVE'APPOINTMENT DATE /' TIME All I A11G -9 7nn1 <br /> (Please give 7 roto buLina"days Irom ate of application svbmitial) <br /> 31 <br /> 0T 611,117-25CHECK SOX TQ EXPEDITE REOUEST,;.B FEE-REQUEST PROCESSE S BUSINESS DAYS <br /> 515NATURE OP APPLICANT,../'_ � DATE <br /> ' FILE ADDRESS O <br /> o �' II <br /> Vlive <br /> �. <br /> 1 A rr <br /> I- <br /> All -2 2101 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> A`IINDERGROUND TANK(UST)CLEANUP srrE(LOPI ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> ❑ OTHER CLEANUP SITE(NON-LOP) C1 FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERG ROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL O PUMPER TRU CKIYARDICHEM TOILETS <br /> ❑ TATTOO15ODY f FiRCING ❑ POOLSPA ❑ LAND USE APPLICATION SITES <br /> 13 MEDICAL WAS4E FACILITY ❑ FU BUC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type($)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be'selected. Fax to (2091464&128 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 Confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will behold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by END 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. Future file reviews by the same applicant may require a $78.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be proco$$od the next business day. <br /> F <br /> RMED APPOINTMENT DATE TIME <br /> ONFIRMED PHONE VAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EN 00 14 elrovaa <br /> d <br />