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6103/ 603 15:16 4540138 ENVZPONMEI�ITAL i -_FL I H rHuc UZ <br />P <br />�`� ' \/ ' JOAQUIN COUNTYPUBLIC HEALTH SERVICES e1�` Snr. wuMaGa <br />ENVIRONMENTAL. HEALTHDIVISION <br />6 304 T M13ER AVENUE, THIRD FLOOR ' <br />L1, i i fj 05 STOCKTON CA 95202 <br />EN IROf�i`,;i"t:fV i FAI (209) 468-3420 <br />�UBLIC RECORDS RELEASE APPLICATION <br />PI.fC CE L.£. I N r 13USIFt)~fiStAG TtCY A :L re <br />ORE 2 b M IrJb D IA L 4 ',I- 4p <br />QN£ 2.5 X I <br />FA(�SIMTI E <br />F I T1E TAT) " APpourrMENT DAT1: / "t UG . 2 O Q 5 TIME; QO P!,M <br />(PIA,1ao 91vo I to IQ buaknwo d,%Im frem date of a0_191- tion submittal} — <br />Imam <br />• <br />.r iAMF <br />��IY1N111111r/LAL '-" `IIS" <br />ENVIRONMENTAL HEALTH D1V1,StON FILES fes' W `�=y`'� VVI <br />UN <br />GROUND TA <br />K (UST) CLEANUP StTE (LOP) C]HOUSING AnATtMCNT ❑ SOLID WASTE FACU Y <br />OTH <br />CLEANUPS <br />' <br />(NOES -LOP) ❑ FOOD FACILITY D SOLID WASTE VEHICLF <br />UN <br />kGROUNt) 7A K (LIONITORINGMEMOVAL) 0 por, KENNL-lr G DAIRY. <br />TIEP <br />DOUG WASTE <br />PERMrmp <br />OENCRATOR M CHtCKSN RANCR 0 PKC TREATMENT PLAN <br />AG16.TrY 0 MOTEV"OTEL 0 F*t1MrM TRUGKtYARAnCKEM T01L Tn <br />TAr <br />0MODY P91Ft tNo tJ P00USPA ❑ LOAM U31; APRI-10ATION SrrLS <br />MEE <br />16ALWASTE FA tLTTY ❑ OT1 M (PLEASE SPSCIFY ABOVE) <br />1 <br />Ust lip to <br />vn addresses In tho space above. Soloet the type(s) of files from the list above by clknakirmv..0. <br />the appro <br />Hate box(es). At least one file type MUST be solocted. fax to (209) 464-0139 or mall to the <br />.- <br />address i <br />dicated above. <br />1 EMD will n <br />Ealy the appliallnl if any EHR files exist. An appointment for roview will tae confirmed <br />approxi <br />tely five businoss days but no later than tnn-(I n) d;yS� attar roceipt.of application. The files <br />will bo hal <br />I for a maxlmum of five business days for review. Appointments should be scheduled <br />according <br />y. <br />A file that <br />s, actively being worked on by EHO staff may not be immediately available tar review. A n <br />apPlicatlo <br />may be.sutunitted when the fila Is available. <br />4 <br />Any Ilia not <br />rattirned ih the same condition as released will be reorganized by EHD surf at the expon <br />of the app <br />Icant. Future file roviows by the same a ppliaant may require a $89.00 daposit prior to revic <br />5'TENTAT <br />E appointment dates must be confirmed with EHD staff. <br />Applicatio <br />s received ,after 3:00 prn will be processed the. next business day. <br />UN <br />�RMEDO <br />AP <br />NT Mi=NX DATE, TIME <br />IC <br />TE <br />CJONFIRMED <br />PHONE FAX WrriALS <br />IPEVIE�ED <br />YDS No fti~V M DATE ' <br />%'`� b <br />