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- z0'd �t�101 • • <br /> CATE RECEIVrD PHO LOC NUMBER <br /> SAN JOAQUIN COUNTY <br /> �` ��, , c`�<<i ENVIRONMENTAL. HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> ;, . . 1 (209)468.3420 <br /> ` ` ' i PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT,TD't y!�/ ��Y 13USINESSIAGENC'Y`/�C APA) _1 Q <br /> ADDRESS '� J_ �` �i OIR ArI/L�Q (.+rT L"� - <br /> h r <br /> PHONE �a� 'L ��� FACSIMILE 7 O 1 Cl <br /> ` ,� TIq' D 44)"TENTATIVE'APPOINTMENT DATE Ake &Q , 0 3 TIME et',1 <br /> (Pleaaa give 7 to 10tobsIness days from dato of apPli=tl0n Submittal) 3 <br /> CHECK IIOX TO EXPEDITE REQUEST $89.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE �/Ti! -0 <br /> FILE ADDRESS THIS SIDE EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> rr di <br /> XA4A: it�J� 4/A4 /U.• it <br /> ML rr yr <br /> /.L <br /> I C CV" "'0 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT CI SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(MON-LOP) M FOOD FACILITY ❑ SOL113 WASTE VEHICLE <br /> UNDERGROUND TANK(MONrrORINGIREMOVAL) O DOG KENNEL, ❑ OAIRY <br /> �7eon r�kyt*a+� . ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTEIJHOTFL ❑ PUMPER TRUCK/YARDICHEMT01LETs <br /> 0 TAT100IBODY PEIRCING 0 POOUSPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)464.0138 or mail to the <br /> address indicated above. - <br /> 2. END will notify the applicant if any EHb files exist. An appointment for review will be confirmed <br /> approximately five business days bUt no later thin ten(10)days after receipt of application. The files <br /> will be held for a maxlmum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant'_ Future file reviews by the same applicant may require a$89.00 deposit prior 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 APPOIFITMENT DATE ZIME - <br /> .. . <br /> bAfE <br /> _ _ <br /> NFIRM�D - <br /> PHONE. .. `INITW�s <br /> FAX. .;::_: <br /> FtL=V1EIND-: 1f1=S NO <br /> ..REVIEW,DATE <br /> Eao wa:-0�e <br /> y2ertooa <br /> Zaii0'd 6b99 S26 LOLT dI�lHWd9 LS:OT 200E-ET-onu <br />