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TG .. <br /> \ 09-04 2081 11:33W FR01'1TyUBUC HEALTH <br /> \SAN JOEN UIN CO ENTAL H LTH D VISION VICES <br /> In, 5 2a� i 304 EAST WESER AVENUE,THIRD FLOOR li <br /> 1 CFP a _ STOCKTON CA 95202 <br /> pl;_i H (209)488-3420 <br /> , PUBLIC RECORDS RELEASE APPLICATION <br /> 09 M <br /> APPLI ANT_(� � ' + IAMUELSQN. _BUSUSESWAGENCY )t2t11.( CA TAIL. l�C <br /> Aon Ss . 2. �IoJA Ta uu--U Rf2.fJ 1,LLTE 1� _ <br /> PHONEI f I{)5.� 6qq - I (p DD ' cFACSIMILE. -t )S� g` cI <br /> tj <br /> Y � • <br /> TENTATIVE.'APPOINTMENT DAM TIME <br /> (Pleads gtvc 7 to t0 Lasuwss d c 1�dab of appllcatian su6m)ttni) _ <br /> Uti/TSI <br /> C'ECK BOX TO EXPEDITE REQUEST-SST.00 FEE-REQUEST PROCESSED 1N]BUSINESS DAYS <br /> SIGN i TUBE OF APPLICANT DAT.[ <br /> iTtils SIDE EHO STAFF USE ONLY <br /> FU-E DORE� PROGRAM ELEMENTS SCARCH <br /> tf;PoRT nJA 3. <br /> ,� 3LPt i� t+ztt AlKPo0.-r' V+Jh`� -2 :33. _ <br /> LRFb27 N k_1 <br /> .'Z3 b,�• �► <br /> V �3 SouTH Et_ Do (JL7- <br /> 2412 5au-m 1- 'A4b STPEe 1 N'3t 4-4-0 i <br /> aim Su+pn+ EL nozA�o TREE.T �isl L223L. <br /> 24o Sour �IcrForzNia -;zsc- r a + 4zs; �L�6 23�I139y <br /> �. 3j�E �iTy ST ENVIRONMENTAL HEALTH DIVISION FILES M D <br /> II ,1.z y,�, 3.Y/,,29 0 �V S-i;22_2_000 <br /> UNQERGROUND TANK(UST)CLEANUP SITE(LOA) dHOU51NG ABATEMENT 50LJD WASTE FAGI <br /> ER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VEHICLE SEP 13 2001 <br /> UN ERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL DAIRY <br /> KA+IDOUS WASTE GENERATOR O CHICKEN RANCH PKG TREATMENTPLANY <br /> TIRED PERMITTED FAC1LnY 0 MOTELJHOTEL PUMPERTRUCKlYARWCHEM TOILETS <br /> O TAITOOIBODY PEIRCING 0 POOLISPA "' LAND USE APPLICATION SS ES <br /> 0 ME ICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. , List up to ten addresseslin tho space above. Select the type(s) of fills from the list above by checking <br /> the appropriate box(").:At least one File typo MUST be selected. Fax to(209) 484-0138 or mai(to the <br /> address in icatad <br /> 2 _ EHD will notify the applicant if any EHO files exist. An appointment for review will be confirmed <br /> E approximately five business days but no later than ten(10) days after receipt of application.-The files <br /> will behold for a maximum of fivo business days for revlow. Appointments should be schedulod <br /> 3._ Iaccordingly. <br /> A file that is act)valy Doing worked on by EHD staff may not ba 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 $87.00 deposit prior to review, <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. ! Applical(ons received after 3:00 pm will be processed the next business day. <br /> i <br /> CON RMED APPOINTMENT DATE TIME <br /> DATEICONFIRMED PHONE PAS( INITIALS <br /> REV 1W41) YES NO REVIEW DATE <br /> +a .qM TU1HL P.01 <br />