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' &Y-V [nir+ ureu HEALTH <br /> NO. 6708 . . P. •1 <br /> 41.._138 EWIRO1� INTO, <br /> s + SAGE 01 <br /> �Wk JOAQUIN COUNTYPUQL'IC H / �� +u...�,. <br /> ENVIRONMENTAL WEALTH DIVISION <br /> '01 EASE'WESER AVENUEr THIRD FLOOR <br /> STOCKTON CA 95202 7A> <br /> 02 h= i f Pf'4 f 55 PUBLIC RECORDS RELEgS <br /> E APPLICATION <br /> APPLICANT 1d BUSINESSIAGENCY p <br /> ADORIESS } IA } <br /> PHONE FACSIMILE <br /> TENTATIVV APPOINTMENT DATE <br /> P (Pk'&-erre 7,ID 10 bLLc- S G ram t�er TIME Q�yM <br /> aPp1I on eubmifti) <br /> ' CHECK HOX TO E7iPEDlT1:RE` g _7 <br /> E P IN 3 SIMM DAYS <br /> 'SIGNATURE OF APPLICANT DATES' 'd?i <br /> FILL ADDRESS <br /> THIS SIW EEL6 5T�1FF USE ONLY <br /> F..Ir <br /> PROGRAM F-MiENTS SEARCH <br /> o>' <br /> ENVIRONMENTAL HEALTH DMSIOH FILES <br /> UPEFRGROUND TANK(UST)CLEANUP SIT! {t_OPi I� HOUSING A�EA3EMENT X <br /> OUL WASTE FACILHTY <br /> NINDERGROUND <br /> THER CLEANUP SITE(HONrMRj O FOOD FACILITY 0LID WASTE VEHICLE <br /> TANK(IbONITOREMIGlREl4IOYAL} 0 DOG KENNEL DAIRY <br /> !:ATTOOt <br /> AT1�iRDEDY <br /> WASTE GENERATOR Q CHICKEN RANCH 0�PKGTREA714[ENT PLANT <br /> ER»PMIT7EDFACIL"y Q M OTELIHOML.` XL.PUIWPER RUCIVYARP=EM TOREM <br /> PEIRCING O POOL/SPA O LAND USE APPLICATHON StlB$ <br /> 0 MEDICAL WASTE FACILITY �PL18uC WATM SYSTEM 14 OFER.{PLEASE SPtC(FY ABOVE) <br /> 1. List up to ten addresses in the spaws'above. $elect mo type(a)of flos�from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to o9)164.0138 or mail to the <br /> a reSS irgdicakejabove, <br /> 2• EHD will notify the appilcant if any EHD files exlsL An appointment for review will be gonfirmed <br /> Approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a Mlmimum of five business days for reviewer. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is aftivelay being worsted on by EHD staff may not be immediately av2Iilable fair review. A new <br /> application may be submitted when the file Is avallaoie. <br /> 4. Any file not returned in the samebondition as released will be reorganized by EHD staff at the expense <br /> Of the applicant. Future file reviews by.the Sante applicant may require a$89.00 deposit prat to review. <br /> 5. '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 /> 1'DATE CONFIRMED - _ PHONE FAX INITIAi:,S <br /> REVIEWED YES __ NO REVIEW DATE <br />