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IJ <br /> .,._,.�.� SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION � J N 1 1 2001 <br /> 304 EAST WESER AVENUE,THIRD FLOOrR� <br /> STOCKTON CA 95202 <br /> (202; 400 -3420 ENV1F�UNIVIti'v1 h;CALTH <br /> _ PUBLIC RECORDS RELEASE APPLICATION PERlliliT/SFr-,VICES <br /> APPLICANT _ CJ a I } C�H e BUSINEMACENCY 71` f�il t <br /> ADDRESS-_ 7� !. QIW�� ��LLt ,l/C( fylCl4l�llv� CA1? 1' / <br /> PHCIN C7��^ �� ` � FACSIMILE <br /> TENTATIVE"APPOINTMl N"rOATE '1�7 0 TIME <br /> Tio45t Qiva 7 to 10 pusine s days from date of application submitial) I AN i 1 <br /> 7 CH"eI;K BOX TO EXPEOITE REQUEST 478 Q Et-REQUCS;"f HOC 9SEp IN 3 BUSINESS RAYS <br /> 51ONATURE OF APPLICANT QATE �Q j <br /> FILE ADDRF55 THIS SIPE EHO STAFF USE ONLY <br /> PROGRAM Ek-EMENTS SEARCH <br /> T_o . _ E i-C l_LI S q I <br /> r ices 0 ST <br /> �t o7 wq� a <br /> z LP <br /> 52-7 <br /> ilullil 61nh <br /> ENVIRONMENTAL. HEALTH DIVISION FILES JAPE 16 ;_'`' l O <br /> UNOERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING A13ATEMENT 0 SOLID WASTE FACILITY � <br /> OTHER CLEANUP SITE (NON-LOP) a FOOD FACILITY o SOLID WASTE VEHICLE <br /> UNQeRGROUNU TANK IMCNITCRINGIREMOVAL) ❑ PUG KENNEI, O DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR C�,' CHICKEN RANCH ❑ PKC TRF-ATMENTPLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTFW OTEL ❑ PUMPER TRUCKIYARD/¢HIL-M Ta1Ll Ts LQ <br /> Q TATTOGIBODY PHIRC{NG Q POOL-SFA ❑ LAND USE APPLICATION 51TE5 <br /> ❑ MEDICAL WASTE FACILITY Q PUaLIr,WATER SYSTEM ❑ OTHER(nEASE SPECIFY AUOVEI <br /> 1. I_ist Up I;o ten addrasses in the space abave. 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, I ax to (209) 464.0138 or mall la the <br /> address indicated above. <br /> 21 EHR Will notify the applicant if any AHP files exist. An appointment for review will be confirmed <br /> approximatafy five Loudness days blit no later than ten(10) day$ after receipt of application, The files <br /> wit) be held for a maximum of five business days for review, Appointments should be scheduled <br /> acr,ordingly. <br /> 3. A filo that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may tae submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EMID staff at the expenst> <br /> of the applicant, Future file reviews by the 5AMe applicant may require a $78.OD deposit prior to review, <br /> 5. "TENTATIVE appointment dates Inust he Confirmed with EHO staff. <br /> 6, Applicatlona received after 3:00 prn will be processed the next business day. f� � 46 k1-0 r-3 8 <br /> CONFIRMED APPOINTMENT GATE TIME <br /> DATE CONFIRMFo PHONE FAX INITIALS <br /> G1�• <br />