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Tq �y3e3a2>.�Iyi� �- Gr. 4 <br /> 2090 08 33iaM FRC` gOaLoaNumaR <br /> 1' SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> > ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST 1NE8ER AVENUE,THIRD FLOOR <br /> STOCICTON CA 95202 <br /> (2(19)468.3420 <br /> d2a0q)- EASE RECORDS RELEASE APPLICATION <br /> tae, BUSINE$SIAGVRCY <br /> LICANT <br /> � <br /> ,.�.: .:1 <br /> yRE) SS..,, r ' � • +'�L.4 L' �f:l FACSIM0.E 'r <br /> QNE,��o. <br /> TENTATIVE'APPOINTMENT DAT9 <br /> as TIM <br /> lU . <br /> Hive W 10 usmear da Iran date OI OPP"C11' rubmLLtap . <br /> C C O EST•$$T.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> DATE - <br /> GNATURE OF APPLICANT <br /> FILE ADDRESS THIS SIDE EH0 STAFF USE ONLY, <br /> PROGRAM ELEMENTS SEARCH ' <br /> 5 f cis r Rd GIt q5z W <br /> r 1- 1 <br /> 00'11- Vie- PC. RON Lo i <br /> is r Ftd.11, Lad, z, . <br /> 0 1t. Oi' �1a <br /> M- 0b LCr..keCor1-# Lo i <br /> or k1- r LCA; <br /> �. 00 Bcctcrnan gd Fa�(i Mr><nl. I r <br /> •� r � I <br /> oo Vic or RaI- Ld <br /> I+ <br /> TI r ENVIRONMENTAL HEALTH DIVISION FILE$ <br /> ul{DERGROUND TANK(VST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT .0 SOLID WASTE FACILITY <br /> r O FOOD FACILITY O DAIRY WASTE VEHICLE ' <br /> AYHER CLEANUP STf6(NON-LOP) <br /> . ] DAIRY <br /> GlREnOVL) Q DOG KENNEL <br /> GROUND TANK(MONCOI <br /> ,UNDER <br /> PKO TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH <br /> Tq!R RD PUMPER TRUCKKATION*rM TOILETS <br /> ' TIERED PERMITTED FACILITY In❑ MO7EUHOTEL LAND USE APPLIGATIOFNY$tTEB <br /> TA'(TOOtaooy P91ACING POOL73FA O IXrHER(PLEASE SPECT ,ABOVE) <br /> MIEOICAL WASTE FACILITY 1Q PUBLIC WATER SYSTEM <br /> t: a of files from the list above Py checking <br /> Lest up to ten addresses In the space above. Select the selected. <br /> �„LZQ 484.0138 or mall to the <br /> the appropriate box(es), At IV <br /> one file type MUST be setectad. <br /> Indir�jp� above. <br /> END will notify the applicant If any END files exist. An appointment for review will be conormed <br /> 1- : <br /> JK <br /> approximately Five business days but no later than ten(t0}days after receipt of applicatio�l. The Cues <br /> ;I ) <br /> will be held for a maximum of}Iva business days for review. Appointments should be scheduled <br /> acelydingly. <br /> Afile that is actively being worked on by EHD staff may not be immediately available for riview. A new <br /> applic ation may be submitted when the file is avallable. i <br /> Any iii.;not returned in the same conditlon se released will be reorganized by EHD staff et the expense <br /> of the applicant. Future file reviews by the same applicant may require a $a7,00 deposit p(lor to review. <br /> PTENTA'i�VE appointment dates must be confirmed with END staff, <br /> Applicathc,is received after 3:40 pm will be processed the next business day. <br /> 1 . <br /> 'CONFIRMED APpo&ITMENT DATE TIME <br /> DATE CONFIRMED PHONE PAX wMALS <br /> nm ur..,aar_n ern �In O=%IIPW r A70 i <br />