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r'71u._i`C'LtJIiU li:JJ ri'.i_d'I. I;WI Hi•ii-• -ILi�, lily._. ���-vJ_i- IlLU SIJ. . '1 'l/J . .i_.�J1 _•_ly <br /> 08-14-21H 10:29,pM >} TO L.r 1555"'-687f�'6 P.01 <br /> i?aTpFtfCft �-� .OGAWtiGR� D SAN JOAQUIN CQUNTYPUBLIC HEALTH SERVICES E.Np`F <br /> ENVIRONME=NTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> AU�� 1 2000 STOCKTON CA 95242 <br /> ENj � (209)ase-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> PERWL�CAI+IT=�� r'Y'1 UUSWCSWAGENCY 4 <br /> ADDRESS p 2Q <br /> PHONE 7 , L! 502-1 FaCStMILE 71 1 ZL.4' <br /> i <br /> TE.NTAT1VE"APPOINTMENT RATE '�1U!:�, !PQ TIME <br /> (Please give 7 to 10 4uai "days data Of applleatim submittal} <br /> tl,a CHECK SOXTO EXPEOME REQUEST.$67.00 FEE-REQUEST PROCZZGE0 IN S BUSINESS DAYS <br /> s1GIaATl3RE of APPUGANT- DATE <br /> s <br /> i FILE ADDRESS THY$SIDE END STAFF USE ONLY <br /> 'f 5 3�S r0 f;Ge, PROGRAAO URM NTS SEARCH <br /> U a td 1 asci <br /> 1,;)'d D <br /> q. ) <br /> oz! Z; " <br /> 35-K .�. �25. '1 o <br /> 2 _7_i1�1� <br /> 35 <br /> ENVIRONMENTAL HEALTH DIMION FILES <br /> UNOERGROUNO TANX(USF) I_F.ANUP 5"(LOP) a HOSING AaAYEMENT ❑ SOLID WASTE FACILr1 <br /> OTHt7i CLEANUP SITE(NON- OP) t7 FOOD FACUM t] SOLID WASTE VEHICI.I= <br /> UMDERGROUND TANK(1AOt rrORiNGr1 EM0VAL) ❑ DOG KENNEL 0 0AURY <br /> ,q HAZARAVUS WASTE GENERATOR ❑ CMCKEN RANCH ❑ PKG TRHATMENT PLANT <br /> P TIERED PER&17ITE4 FACILJTY o bd TTeLrHOTEL d PUMPER TRUCKIYARDiCHEM TOUeT$ <br /> P TATTOO/BODY PEIRCING CJ POOMPA ❑ LAUD USE APPLJCATION SITES <br /> El MEDICAL WAM FACUTY Cl PUBLIC WATER SYSTEM GI OTHER(PLEA311 SPECIFY AHOYF4 <br /> Il. List up to ten addresses in the space above. Selact thw type(s)of filc*from the list above by Checking <br /> the appropriate box(es). At least one file type MUST be selected, Fax-to(ZA)464-0138 or mall to o the <br /> Address lrtdlc:Ated etaove- <br /> 2. EHD will notify the applicant if any CHI)files exist. An appointment for review will be confirmed <br /> approximately fibre business days but no later than ten(10)days atter reccipt of application. The files <br /> I will by held for a maximum of five b4singss days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD otaff may not be imnwdiately available for review. A new <br /> application may be submitted wh4n the file is available. <br /> 4. Any file not returned In the same conditlan as released will be reorgartixod by EHD staff at the expense <br /> j of the applicant. Future file reviews by the flame applicant may require a$87.00 deposit prior to favigw. <br /> 5. '"TEXTATIVE appointment dates must be confirmed with EHO staff. <br /> �6. Applications received after 3.00 pm will be processed the next business day. <br /> i <br /> I <br /> ICONFIRMED APPOINTMENT DATE TIME <br /> PATE CORFIRMED PHONE FAX INITIALS <br /> F <br /> 1 <br /> REVIEXED YES NO R V'lr--W DATE — E <br /> 00 f{ <br /> TOTAL P.01 <br />