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• <br /> SAN JOAQUIN COUNTYPUBLIC HE�LTH SERVICES <br /> ENVIRONMENTAL HEALTH' N <br /> ���� 304 EAST WEEDER AVENUE, THIRD FLOOR <br /> STOCKTON CA 95202 r C, O 2J01 9� <br /> (n (209) 468-3420 <br /> PUBLIC RECORDS RELEASE- APPLICATION <br /> vAPPLICANT I > T&pj C (1/F L BUSINESS/AGENCY <br /> ADDRESSCg S C' 41c^e�t S i <br /> t <br /> PtIONE_ �S' p,�'� cF FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE= T1rviL= � <br /> (Please give 7 to 10 busincss days from dale of application submittal) <br /> ❑ j-1iCl i TS a3 -6 <br /> CHECK BOX TO,EXPLDITE REQULST-Sa 00 FL=L—REQULST PROCESSED IN J BUSINLSS DAYS <br /> SIGNATURE OF APPLICANT , DATE /a -3- 0 <br /> FILL ADDRE=SS THIS SIDE EHD STAFF USC ONLY <br /> ✓ PROGRAM ELEME=NTS SEARCH O <br /> DEf 1i _ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(US-r) CLE=ANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE= FACILITY <br /> ❑ OTHER CLEANUP SITE (NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/RE�_MO�(AL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE= GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY P14IRCING ❑ POOUSPA - ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATE=R SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(eS). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD willfiotify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ton (10) days after receipt of application. The files <br /> Will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> A file that is actively being worked on by EHD 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 EFID 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 /> G. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br />