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�al�a GU - C,� / <br /> tJVEO � r La+C LCG FWMfYR <br /> `J 1516JOAWIN COUNTYPUBLIC HEAL SERVICES <br /> t ENVIRONMENTAL HEALTH DIVISMU^j <br /> } 304 EAST WESER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> ti f (203) 468-a42O <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ANT ��t .4yA—eGa—a-4,-; L3USINESSIAGENCY��I�fs�ca��i�Yfttll[�t <br /> Mg �74 <br /> FACSIMILera9r' r _. <br /> TENTATIVE"APP0kNTMF-NT DATE_ _ TII.lI: <br /> (Pleas•Ohre l tQ la businisa clays from date of application sublMAI) <br /> i <br /> EC BOX TO EXPEWTV RFQIJF3T-$73,©a FE�E-)RE:QURST PRRCZS3FX 1N 3 BUSINESS DAYS <br /> $ <br /> TURE OF APPLICANT DATE ZO 61:9 <br /> FILE ADDRE=SS <br /> I . <br /> �•s <br /> godu- _ <br /> LEM <br /> ENVIRONMENTAL HEALTR DIVISION FILES <br /> ERGROUND TANK tUbT)CLEANUP SITE(LOP) 0 H(7U. ING ASATFMF-NT 0 SOLID WASTE FACILITY <br /> ER CLEMUF SITE(NON-LOP) d FOOD FAMrTY Ca SOL141KA.STE V9,KtCLE <br /> J RGROUND TANK(MONfrORING.IREMOVAL) 0 DOR KENNEL O DAIRY ,ea I a 26O <br /> &RD0;J3 GENERATOR 0 CH40N RANCH d PKG TR&ATMENT FLAX <br /> ED FERMI l-IED FACILITY 0 MOTEVNOTI~L ❑ P13MPHR.TWCWYARi}{ICt1EcMTOR.ET'S <br /> {}OI50DY P BRCING ❑ POOLISFA ❑ LANO 1114E APPUCATION 5rTES <br /> IOAL 1 AIS7E FACILM M PUBLIC WATER SYS ILhi 0 OTHM(PLEASE SPECIFY ABOVU) <br /> LIRt up to tet} addres.5es In the Sparse *Nova. Select the type(e) of flle$from the IiSt above by Gheckln� <br /> the appropriate box(as). At 1011Iet orle fila typo MUST be zelecttKd- F§A tt,-f2 1-ffH-0't38.+pr r119il U lig <br /> address in ic4ted above. <br /> EHU will notlfy the applicant If arty EKD files exist An appaintmant for review will ba confirmed <br /> approximately five business days but no later than tars (40) days atter receive of application. Tho files <br /> will be held for a maximum of five business drays for rovlew_ Appointments abould be s+chedulod <br /> �;' acG9rdln9lY• <br /> 3 A file that is actively tieing worked on by EHD staff may not be imm4td)atoly tivallable for review. A ria+ <br /> y appllcaltivrt may W submitted wh*n the file is Avaii4t43o. <br /> A Any file not returned In the same condition Irs released will bQ r"rganlzad by EHD stAff at the expens• <br /> of the applicant. Future file reviews by the samo Applicant may require a $78.00 deposit prior to ruvlv� <br /> ' `TENTATIVE appointment Clates must be confirmed with EMD staff. <br /> Appllc*Uons Mewed after 3,00 pm will tae proceed the next busineatt stay. <br /> #RMED APPOINTMENT DATE . TIME <br /> q CONFIRMED PHONE FAX INITIALS <br /> ED YES NQ REVIEW DATE <br /> w <br />