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UU..-1 J._ OVV-c:..- r+. . • .__.- •. 1.LllJhuinLu <br /> SAN Jr iUIN COUNTYPUSLIC HEALTH SE ICES <br /> ENVIRONMENTAL HEALTH DIVISION' tT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 55202 <br /> (208)468.3420 <br /> PUBLIC RECORDS RELEASSEsAPPL[CAj1914- c �, <br /> I {S PPu +�U_sC_Ci��l rLc <br /> 7: cANT 1 I11Yt L. i u L' t Bm <br /> usEssrAGENcr .�.L�5:,�- .fll r?Ap <br /> >7 !A(Inl r !DC l!( <br /> PHONE C;Jr r' n" �l�i 7 " - <br /> : O C Co <br /> TENTATIVE'APPOINTMENT DATE v2bA-� O+D TIME <br /> (Pleue give T to i0 bysinrs days tram data cf apphcalUn submikWI <br /> 0 CHECK UOX TO EXPEDNY REQUEST-587.00 Ft��-,yR��EQUp.STT PROCESSED IN 3 fall <br /> DAYS O\/ J� O=� <br /> SIGNATURE OF APPLICANT <br /> &ak G (T v�C6✓tn� �' DATE I C2 P <br /> E1LE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> -rU pl UW Ct+trM -/kW lNO• 2381 ?,380 3 2 26 <br /> 0110 7,6 23 L <br /> T G : rv- i 7o r t <br /> �A^ <br /> F, r <br /> ENVIRONMFWAL HEALTH DIVISION FILES <br /> ❑ HoUSWG ABATEMENT )1 SOUO WASTE FACIUTY <br /> UNDERGROUND TANK NST1 CLEANUP SCTE(LOP) ❑ FOOD FACILttY ❑ SOLID WASTE VEHICLE <br /> OTHER CLEANUP SETE(NON-LOP) ❑ OOG Kt:NNEL ❑ DiAIRY <br /> UNDERGROUND TANK(MONIrOR11'lGlRENOVAL) ❑ CHfLKFli RANCH In PKe TREATMENT PLANT <br /> a KAzAADOUSWASMGFNERATOR O MOTEUNOTEI: ❑ PUMPERTRUCK/YAR0iC"eMTOILETS <br /> ❑ TIERED PERMITTED FAGLITY Q POOLISPA ' ❑ LANK)USE APPLICATION STIES <br /> M TATTOO/500Y PEIRCNG ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY AHOVF) <br /> :a MEDICAL WASTE FACILrTY ... <br /> 1. List up to ten addresses in the space above- Select the type(&)of files from the list above by chocking <br /> the appropriate box(es). At least one file typo MUST be selected. Fax to(208 4640138 oc car at)to tbM <br /> ddrPcc indicated above <br /> 2: END will notify the applicant if any EH13 files exist,.An appointment for review will be eonfumect <br /> approximately five business days but no later than ten(10) days after receipt of applicatlon. The files <br /> W41 be held 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 EHD staff may not he 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 S87y EHdD staff <br /> at the <br /> to review. <br /> ense <br /> of the applicant Future file reviews by the same applicant may req Poi pr' <br /> S. 'TENTATIVE appoirrtment dates in ust be confirmed with EHD Staff. <br /> g_ Applications received after 3.00 pm will be processed the next business day. <br /> LINIFED.APPOINTMENT DATE TIME <br /> FIRMEDPHONE FAX INITIALS <br /> YES NOREVIF'1N DATE <br /> M TOTAL P-02 <br /> , <br />