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r-1Lu i—Y GIJCitJ li:;i� i-I••i�l'1: IWIHINka— `ILSUp Liis_. L-_; ,IC_U - iu.t�� ., _Ji —•_�u.� i'.+���I. k-u <br /> 08-14-2000 10:29AM FAW TO 15592Gi3712fs P.01 <br /> C!AUMID <br /> SAN JOAQUIN COUNTYPU13LIC HEALTH SERVICESRV � f <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 2000 304 EAST WEBER AVENUE,THIRD FLOOR <br /> AU STOCKTON CA 95242 <br /> ENT HEALTH (los)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> EN�� �!f��-� J f <br /> PE'APPLICANT t'Y1 IIUSWC3StAGENCY�T <br /> ADURES-9 Q r1 Q <br /> QHONE J 2Ll /+�2 1 �FACSaAILE— , ZUe '712)4 <br /> i <br /> TENTATIVE"wPParlTwtelrT HATE S QQ TIME X4_•'4 iC.'N <br /> (Please give 7 to 10 bu*jifts days fm data of applleawuan submittal) <br /> CHECK BOX TO EXPEDITE REQUEST 487.00 FEE-REQUEST PR=96E0 IN 313USINESS DAYS <br /> 6NATURE OF APPLJCANT• _J, , DATE <br /> EAE ADDRESS THtt:MR 5M STAFF USE(*CY <br /> -�3 PROGRAM EIARMTS SEAL= <br /> sass a ig % .2cl I 4 z o <br /> b. <br /> 5 <br /> I IT <br /> Ckluro -� <br /> 35 tet 35- Z7-( <br /> ENVIROMMENTAL HEALTH DIVISION FILES <br /> UNQERGROUNU TANH(UST)CLEASUP SrM(LOP) ❑ HOUSING AkIATEMENT ❑ SOLID WASTE FACUTy <br /> 07HER CLEANUP SITE 06ON-LOP) 0 FOOD FACUM t7 SOLID WASTE VE HICIA <br /> tPHOERGROU90 TANK(YCJMMRINGIREMOVAL) ❑ DOG IsEMMI L C7 "Ry <br /> . FIAZUWQUS WASTE GEXERATOR CI CHICKEN RANCH C3 PKG TRBA71AENT PUNT <br /> p <br /> TIERED PEPAMP FACILM o NOrEIMOTEL 0 PU?APERTRUGWARWCHEU/Tt <br /> O TATTOWBODY PEIRMG D POOLISPA 0 LAND USE APPLICATION SnU <br /> 0 IIEDiCAL WASTE FACILITY O PUBM WATER 3Y5TE1t C7 OTHER(PLtI'M WECW1r AB0YE► <br /> t <br /> y. List up to ton addresses to the space above. Select the types)of 1114*from the list above by Checking <br /> the appropriate box(es). At least one file type MUST be selected. Faxto(209)4M!0-1-38 or mail to the <br /> address Indicated above. <br /> 2, SHO well notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately fire business days but no later than ton(10)days atter receipt of app&Atlan. The files <br /> i will by hold for a maximum of five btu►inas6 days for review. Appointments should be scheduled <br /> accordingly. <br /> 01 A rite that is actively being worKed on by EHD staff may not be immediately available fvr review Anew <br /> ` application may be submitted when the file is available, <br /> Any fife not re tuned In tate same conditlan as releued will be reorganfzod by END staff at the expertise <br /> of the applicant- Future file reviews by the game applicant may require a$81.00 deposit prior to review, <br /> 5 'TENTATIVE TENTATIVE appointment dates must be confirmed with EHO staff. <br /> �6. Applications received after 3:40 pm will be proceased the next business day, <br /> i <br /> ONFIRMED APPOINTMENT DATE TIME <br /> , <br /> I ATE CORFIRMED PHONE FAX INITIALS <br /> F ' <br /> s <br /> fZE1/i>;WED YES NO RbVtr~1N DATi? <br /> w 14 MUM <br /> TOT14- P.01 <br />