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V � _ <br /> TO 1i?53S12423 P.Pit <br /> 09-12-290' 08:35W Fff_X1 <br /> " T 5,p dJOAQUIN COUNTYPUBLIC HEALTH SERVIG6S <br /> SEP 12 AM 9 DO :ENVIRONMENTAL4EALTH DIVISION <br /> 304 EAST N1103ER AVENUE,THIRD FLOOR <br /> I STOCKTON CA 95202 <br /> (7,09)469-3420 — — <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> J <br /> APPLICANT S S �YYt L1n«�� 'US{1iE5SIAGE NCY �l•e X`�rY r` a-y-. <br /> Llg�yy_� —Bl _ <br /> AODxtaO t Fc as <br /> 'PHOHq r S- <br /> I� TENTA.71YEtPMICiSc Pe,AaTc 1T l0'0ITY���In'C�i C�a)b roUTIME <br /> OTiP(JII <br /> S�milial) ppa it I �t1 <br /> ECX SOX TO ExPEPIYE REQUEST"SE7.00 FEE <br /> rr'-REQUEST PROCESSED IN 5 HU51NE55 DAYS <br /> SIGN ITuRP OF APPLICANT �+� <br /> k7 1n..-.�.,� -- DATE l O <br /> THIS SIDE END 5TA7F.USE ONLY <br /> FILA AOORESS pRPor<Ame,l_zI+•ENTS SEARCH 006/3(, <br /> : I <br /> Z "/10 oo 963 ' <br /> r <br /> O <br /> 1 <br /> ENVIRONMENTAL HEALTH OIVISION FILES <br /> AGA/ I` w ❑ SOLID WASTE FACILITY - <br /> C UNpEKORCUNO TANK IUST)CUANUb SITE(LOP) ❑ FICUS FOOD IL{YyEMENT ❑ SOUP WASTE VEHICLE <br /> �JOTt;IE IR CLEANUP SITE(NOH LOP7 ❑ DOG KENNEL O DAIRY <br /> C1 UNDERGROUND TANK trttONITORINriR9mCvAL) ❑ CHICKEN RANCH ❑ PKO TREATMENT PLANT <br /> a,HIypDUSWASTE GENERATOR O MOTELIHOTEL c; PubiPER TRUCFGT'Axwct4EY1 TOILETS <br /> ❑ TIE EO PERMIrrTHD fAC1L1TY O PODUSPA ❑ LANA USE APPLICATION SATES <br /> ❑ TA bOBOOYPL'IRCING ❑ PUBLIC WATER SYSTEM P OTHER iPLEASE SPECIFY ACOVE) <br /> C:. rjlE�GAL WASTEkCILITY <br /> e, S <br /> 1. List Up to ten addresses in the space abovelect the type(s) of files from the list above by checking <br /> the appropriate b0x(CS).°At least one file typa BUST be selected. Fax to 2 _9LC641136 or ma'i fo t <br /> all rens f scaled above- <br /> 2, I EHD wilt notify the applicant It any 1; files exist_ An appointment for review will be confirmed <br /> approximately five bness days but no later than ten(10) days after receipt of application. The files <br /> will be hold For a maxiusimum of five Dusilless days for review, Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively hcing worked on by EHD staff may not 6c immediately available for review. Anew <br /> application may be subrpitted when the file is available. <br /> 4. Any filo not returned in the same Condition as released will bo reorganized by FH0 5W(at the expense <br /> of tho applicant. FUtiue file reviews by the same applicant may require a$117.00 deposit prior to review. <br /> b, •TENTATIVE appointmerft dates must bw confirmed vriLh EHO staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> I ' <br /> CON�(RMED APPOINTMENT DATE TIME <br /> 1 PHONE FAX INITIALS <br /> DATE,C''PNFIRMED _ _ <br /> REVIF�NtED YES No REYIEW DATE <br /> TOTgL P.Ot <br /> Iii .7 �T:=, Tin"17 ?T EJB; -TSS-ti)J:x2'1 Ilfd_?I - N17fl N?I <br />