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ry�r, �n ��y-}^M �y� TQ 1ti30342i49d elgp 4 <br /> -CfJ[K/ 08 33w fRVr � PAOL06NUMUR <br /> SAN JOAQUIN COUNTYPURLIC HEALTH SERVICES <br /> a� ENVIRONMENTAL HEALTH DIVISION <br /> ° 304 EAST WESER AVENUE,THIRD FLOOR <br /> �'✓ STOCKTON CA 95202 <br /> oZ� v Q (209) 468.3420 RDATIpN <br /> iWJ PUBLIC RECO )S RELEASE APPLIC <br /> �4.A <br /> 'B to cisBUSINESSfAGENCY �v'G'' <br /> {y!; UCANT < <br /> - <br /> f FACSIM4LE <br /> s( � 9 00 TUe <br /> TENTATIVE'APPOINTMENT DATE / <br /> (Please give to 10 uemeas da trpn date of apPliUli Lubmalal) J <br /> i <br /> tJ <br /> `1`•i' CHECK BO%TO EXPEDITE REQUEST'$81FEE-REQUEST PROCESSED IN 3 BUSINESS <br /> DAYS <br /> DATE <br /> FILE ADDRESS <br /> THIS SIDE EHn STAFF USE ONLY <br /> pROORAM ELEMENTS&£ARCH <br /> T $ Ic4dr Rd j A `1523 <br /> ^F. <br /> 00'!r- Vic r, Ro! Lo i fit -- -Kirl�-- 29 <br /> P, I--- 2 <br /> y 0 <br /> I(- Cn' cl. <br /> Q(o 1..aGkCFor <br /> '�p\1; f 01 oc ke v Lo�l i <br /> :r o0 6ccf�rnan .� La�I� <br /> F <br /> I+ <br /> 1 , � � ENVIRONMENTAL HEALTH DIVISION FILES <br /> T ; <br /> Z ' <br /> (1 HOUSING ABATEMENT A SOUR WASTE FACILITY � <br /> NNDERGROUNO TANK(UST)CLEANUP SITE(LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE , <br /> DITHER CLEANUP SITE(NON-LOP) O DAIRY <br /> ,_UNDERGROUND TANK{MONITOFUNCIREMgVAL) O CHICKENNRANCH ;dPKO TREATMRNT PLANT <br /> HAZARDOUS WASTE GENERATOR O r6pTEl1HOTEL „ It PUMPER TRUCKMARDIC EM TOILETS <br /> rTZO <br /> TIRRED PERMITTED FACILITY O POOUSPA LAND USE APPLICATION ABO <br /> TATT'OptBODY PEIRCING M PUBLIC WATER SYSTEM O OTHER,. LEASE SPECT ABOVE) <br /> Ml:.71CAL WASTE FACILITY !` <br /> type(s)of flies from the list above�y checking <br /> 5{c List up to ten addresses In the space above. Select the selected. <br /> ( ? Fag t nAt 4 Ot38 orinall to the <br /> the approprlate box(es). At(east one 1Jie type MUST be selected. �0 9s3.=�69' <br /> - .. `. drir �s Indicated above, y EHD files exist. An appointment rnointment far review will be Conored <br /> but no later than�. EHD will notify the applicant If an <br /> )': vdlp(be Im t for fl g business <br /> offive business days forreview. Appointments should plbe schoduladaxlrnL (files <br /> accordingly. <br /> A fU that is actively being worked on by EHD stall may not be immediately available for rjview. Anew <br /> appliestion may be submitted when the file is available. <br /> .x Any(i!r not returned in the same condition as released w)tl be reorganized by EHO staff■t the expense <br /> at5 of the applicant. Future fila reviews by the same applicant may require a$87,00 deposit pilor to review. <br /> *TENTAi!VE appointment dates muss be confirmed with EHD staff. <br /> Appltcatki, processed <br /> -Is received after 3:00 pm will be the next business day. <br /> Al CONFIRMED APP011JTMENT DATA TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> 'nr.nar.rr_n ..moo un adnaw r�n-rr: <br />