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! to rIVIP <br />L% <br />TiJ <br />OJ YPUBLIC HF-TH SERVICIES � i �! <br />SAN JC7AQUIN C. NT <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WESER AVENUE. THIRD FL.00R� J] 1 2001 <br />STOCKTON CA 95902 ENV1r G,NMEidIr"LTH <br />(2bg) 45s-3420 <br />PUBLIC RECORDS RE -EASE APPLICATION PER M!TiSEW1iCES <br />�{ ,A h S eLSkNESSfAZENCY <br />APPLICANT � lJ ill � � -`}_ ,- , <br />ADPFI ss <br />7-S PCL1�1411 ._ �C�� +� O�, cA S 99 <br />�y <br />TENTATIVUAPPOiNTmENTOATF Ada—, TIME y <br />(Ploa:e Riva 7 to 10 ys from date of appli";on submittal) <br />I7 CHECK BOX TO EXPF0RF- REQUEST - 478 (; El» — RFC4 eV YFIOC 95Ef3 IN 3 f3U5lNE5S DAYS <br />5ICNATDRE of APPLICANT DATE <br />i�Hl1 <br />ENVIKOlSWENTAL HEALTH DIV{SION FILES <br />OU N 0E RGROUN1) TANK 1UST) CLEANUP SITE (LOP) <br />❑ <br />HOUSING ADATEMENT <br />0 5000 WASTE FACILITY <br />OWER CLEANUP SITE (NON -LOP) <br />Q <br />f 00 FAGR.ITY <br />C] SOLID WASTE VEHICLE <br />UNQERGROI.;NUTANK IMONITQRINGIREMOVAL) <br />p <br />c ' <br />DOG KERN", <br />cHlcKEN RANCH <br />D DAIRY <br />0 PKC TKRATMENT PLANT <br />12 HAZAR17aUS WASTE GENE.RATGR <br />❑ <br />h1QT50i0TF <br />0 PUEAPFR TRUCKNARDIQHELI TAII F -Ts <br />❑ TIERED PERMITTED FACILITY <br />Q TATT00160DY PEIRCING <br />t7 <br />PQ0QSPA <br />❑ LAND USE APPLICATION 51TES <br />❑ MEDICAL. WASTE FACILITY <br />Q <br />PuaL.IG WATER SYSTEM <br />❑ OTHER (#'I -EASE SPECIFY ABOVE1 <br />t. 1_ist up I;o ten addraMsec in tate space above. Select the type(s) of files frorn the list above by checking <br />the appropriate box{es). At feast one file type MUST be selected, Fax t❑ (2091 w-0138 Dr ma{l In the <br />address indlcated above. <br />2. t=HD wit! notify the applicant'if znY FH files exist;, An apRaintrnent for review will be confirmed <br />apprRximatafy five bustness days but no taterthan ten (10) days after receipt of application. The files <br />wit) j e held for a maximum of five business days for review, Appointments shotticf be scheduled <br />accordingly. <br />3. A file that is actively being worked an py EHO staff ryjay not be irnmedlately dvaikiible for review. A new <br />application may be submitted when the file is svallable. <br />4. Any fila not roturned in the same condition as released will he rsoManixed lay EHD staff at the 0xp606e <br />of the applicant, Future file reviews by the same applicant may require a 47fi_00 doposit prior to rewiow, <br />5. `TENTATIVE appointment dates must he confirmed with EHp staff. <br />$. Applications reeeive4 after 3:00 pm will be processed the next business day. 12-0 46 Y—(g r_ <br />CONFIRMED APPOINWENT (BATF <br />DATE CONFIRMED <br />QSti119uMR vge <br />1111M <br />PKGNE FAX INITIALS � <br />O <br />w <br />• <br />� o- <br />