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07 0003: 33p <br /> 1 <br /> 05-05-.--?200 <br /> 5-.--?QOD F77:HSPf1 F49 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> II \I <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ✓ { 304 EAST WEBER AVENU9,THIRD FLOOR DEC 0 7 2000 <br /> STOCKTON CA 95201 <br /> (209)468-3420 ENVIRONMENT Nf ALili <br /> t?. y PUBLIC RECORDS RELEASE APPLICATION <br /> $. ��I (/L+rx S /•n Z:SUSIHESSIAGEHGY ,fin✓,%,.n.w�..>�a� $��rt.-!.t I� <br /> ADDRESS /D B 7��..w �-.�f �a. 71c IJ . L-oGC.� C;-t4 •:.,�" "' <br /> .aF <br /> -ak=M 3?3 -v4117- A=4 zoe- 73- 6l-r7 <br /> TENTATIVE`APPOINTMENT GATE Z Z. (9-(1 TNAE q,g-D 4t. <br /> (Ploar.e circ T m'f0 GwmeSs as s Prem date vrappiiralion:ub"tal) V— <br /> CHECK pox TO ExPEnnE REQUEST- 0,00 F -REDO PR CESSeo 1N 3 OUSmE55 DAYS <br /> 'SIGNATURE OF APPLICANT t DATE f Z-/7 /10 <br /> FILE ADDRESS � D THIS SIDE EHD STAFF USE ONLY <br /> \Y PROGRAM ELEMENTS SEARCH <br /> E. 7Z xyr <br /> NFF 7 �t <br /> `.vim ifG Lo rt r^ <br /> O <br /> - - I <br /> LU <br /> ENVIRONMENTAL HEALTH DIVISION FILES x,////77 t�-((���l� <br /> UNDERGROUND TANK NS7)CLEANUP SITE(LOP) n HOULWDADATEMCNT ❑ SOLID WAS D'I � II-It�� `IV <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY D SOLID WASTE VEa ? lUl /ILf�s- <br /> UNDERGROUND1A (MONRORINWREMOVAL) t7 DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN AANCH ❑ PKG TRFATMENT PLANT <br /> ❑ TIERED PERMUFO FACILITY _ O MOTELmowL <br /> CIpUMpfR TRUCKIYMD(GHEM TUIC�IS <br /> In rwT700MODY PEbtCING r] POOLISPA O LAND USE APPLICATION SfTi_s <br /> 13 MEDICAL WASTE rACaITY ❑ PUBLIC WATER SYSTEM D OTHER(PLEASE SPECIFY AUOYE) <br /> 1. List up to ten addresses in D.a aPAca above. Select the rype(s)OT files from the list above by checking <br /> the appropriate box(er). At least one file type INVST be selected. Fax to(2091 464-07 38 qr mail ip the <br /> adgres8 indicated above <br /> 2. EHD will notify Lite applicant If any EHD fifes exist. An appointment for review win be,confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> Will be held for a maximum of flea business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that i9 actively being worked on by EHD staff may not be immediately available for reviaw. A new <br /> application may be submitted When the tilt is avallable. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the oxpeYlse <br /> of the applicant Future file reviewa by the name applicant may require a$78.00 deposit prior toreview. <br /> y- "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 Pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED Pf ION.E FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />