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13f�34i�iyJ �l 4T <br />$P 48.nAM FROP Th <br />1, "!" ' SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALT DIVISION <br />1 <br />El <br />304 EAST WEi3ER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />(209) 468.3420 ' <br />PUBLIC RECORDS RELEASE APPLICATIC <br />BUstNESS1AGERCY ov{•+r <br />�RESS <br />)NE <br />E Ttee <br />TENTATIVE* APPOINTMENT DATE g �Q ii ti submetal) <br />(Please give to 10 uBlneas da [rorsl date of SpA <br />' J <br />Y.. <br />f:3 TOI=f_Y,PEDITC ReQUE.ST " DAYS <br />$87.oO FEE — REQUEST PROCESSED <br />CFIECK sIN 3 BUSINESS <br />GN ry DRiE91 1 <br />;a FILE ADDRE33 7tl19 SIDE Ej ID STAFF USE dNLY <br />pR4()RAM ELEMENTS SEARCH <br />GA `iSZ� - <br />tv r- K, 2 52�� <br />y r' �fL Y1G�nr O� ( f) Z -1 <br />i` Q(c L �C ke{orci Lo .� Cl <br />\� 10i oc Le- \ -CIA; r <br />_��p0 aCGi� M a f1 <br />n <br />List up to ten addressQs in the space above. Select the type(S) off les from the list above py chec ng <br />the approprtate boxes). At least one file type MUST be selected. F t 4 1 r' <br />rPSS Indic ted above, ointment far review will be conOrmed <br />F -i -1D will notify the applicant If any CH D filet exist. An appointment h <br />approximately five business days but no later than tan (10) daysottntfrents ahouldof plb,a Schad ]vd flieswt:( be held for a maXiMLIM of five business Clays for review. App <br />il <br />f <br />A�rdingfy. <br />ife that is actively being worked on by EHD staff may not be immediately available for rl;view. Anew <br />applic wition may be submitted when the file is available. <br />Ahy iilr not returned in the same condition as released will D staff at the expense <br />be reorganized by E" <br />of the applicant. Future file roviews by the same applicant may require a $87.GG deposit prior to review. <br />'TENTA'itiV1 appointment dates must be confirmed with EHD staff. ' <br />pppllcatived offer 300 pm will be processed the next business day. <br />`{ CONFIRMED APPOII'TMENT GATE <br />DATE CONFIRMED PHONE <br />nr%nr%aft- _r% <br />'TIME <br />FAX WfTfALS i <br />v�%rlFw nnrs <br />l ENVIRONMENTAL HEALTH DIVISION FILES <br />Z 3 f q FACILITY <br />, <br />u1tpf.RGROuNO TANK (VST) CLEANUP SITE (LOP) <br />❑ HOUSING ABATEMENT <br />f1 FOOD FACILITY <br />F <br />. <br />SOLIDD WWASTE <br />0 SOLID ASTE vt:HICLE <br />Q <br />&HERCIEA UP Sao (NON -LOP) <br />„yNOERGROUND TANK (moNITORING/REM0VAL) <br />HAZAIWOUS }vASTE GENERPTOR <br />O CHICKEN NEL <br />D MOTEL/HQTEL <br />❑ QAIRY <br />PK4 TREATMENT PLANT <br />pump LR TRUC}UYARDIC EM TOILETS <br />'rlVRED P9"ITTED FACILITY <br />O POOUSPA - - <br />LAND USE APPLICATION IiVS <br />TATTCK)WSOOY PEIRCING <br />PUBLIC WATER SYSTEM <br />A <br />O OTHER (PL1LAZE SPEC{ ,ABOVE) <br />Wits iCAL WASTE FACILITY <br />kl <br />n <br />List up to ten addressQs in the space above. Select the type(S) off les from the list above py chec ng <br />the approprtate boxes). At least one file type MUST be selected. F t 4 1 r' <br />rPSS Indic ted above, ointment far review will be conOrmed <br />F -i -1D will notify the applicant If any CH D filet exist. An appointment h <br />approximately five business days but no later than tan (10) daysottntfrents ahouldof plb,a Schad ]vd flieswt:( be held for a maXiMLIM of five business Clays for review. App <br />il <br />f <br />A�rdingfy. <br />ife that is actively being worked on by EHD staff may not be immediately available for rl;view. Anew <br />applic wition may be submitted when the file is available. <br />Ahy iilr not returned in the same condition as released will D staff at the expense <br />be reorganized by E" <br />of the applicant. Future file roviews by the same applicant may require a $87.GG deposit prior to review. <br />'TENTA'itiV1 appointment dates must be confirmed with EHD staff. ' <br />pppllcatived offer 300 pm will be processed the next business day. <br />`{ CONFIRMED APPOII'TMENT GATE <br />DATE CONFIRMED PHONE <br />nr%nr%aft- _r% <br />'TIME <br />FAX WfTfALS i <br />v�%rlFw nnrs <br />