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0330--2001 FF2l_ti Iv - wrap awl r,.rel <br /> DAYL kauceweu yam/ Er D BOG tXJyt Cb <br /> SAA! JOAQUIN COUNTYPU13UC: HEALTH SE VICES <br /> ENVIRONMENTAL HEALTH DIViSIOAi -� j ��--- <br /> 304 :AST WEBER AVENI3E,THIRD FLOOR L4 <br /> SI'OCKTON CA 95202 <br /> (2,05)4653420 <br /> y- PUBLIC RECORDS RELEASE APPLICATION <br /> +_t <br /> APPUCANT f__ t_C�7aC.I �S bs- LClZ.uUSINL5 rAGCNCY� lest�c��I Liu, 2 c. <br /> ADDRESS <br /> PHONE ?� {!C3 C7 PACSMOLE 7,12774 LP 3 - ?e 5 S <br /> TENTATIVE"APFQINTMENT DATE r � -nwLg <br /> (Flea:5a gives 7 to A a tx i�bays frog,d do of 4pp1iaation subrntttar) <br /> CHECK BOX"TO EXPEDITE REQUEST- E- QU PAWCESSED IN 3 BUSINESS DAY$ <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRI S$ THIS 51DE EMD STAFF USE ONLY <br /> PRQGRAM ELF-MENTI SEARCH <br /> �fQ�l1 tq, f L�vt% a+t <br /> 361-1-9 } <br /> J4'3 S- A-' <br /> rj- �. G a cL ,Peed _!'dock on X9,55 M%� <br /> 3S, <br /> ENVIRONMENTAL H)=ALT1-1 DPASION FILES <br /> 1>rUNDERGROUND TAW(UST)GtFANUP SCFE(LOP} M HOUSING'A$ATEMENT eV-SOLID WASTE FACILITY <br /> '(OTHEP.CLEMUP S[lE WN-1,0P) C1 FOOD FACILITY 13 SQUD WASTE VEHICLE <br /> UNDERUROUND TANK(MOMTORINGIR&MOVAL) M.DOG KENNEL o OA1RY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICIUN RANCH M PKG TREATMENT PLANT <br /> C1 TIERED?ERMITTED FACU rTY Q WAMT JH0TEL Q PUMPER TRUCWYAFWtCtiZM TOILETS <br /> Q TATMQ S00Y PEIRCING G P6aOSPA O LAND USE APPLICATION SntS <br /> 0 MEDICAL WA$TF.PAGILITY 'G PUBLIC WATER SYSTEM Q QTh9R IPLEA$E SPEQFY A8OVF4 <br /> 1. Llst"up to ton address"in the space above. Select the type(*) of files from the list above by chef;king <br /> the appropriate box(es). At least one fits type MUST be selected. Fax W =9) 464-U73$or mall to the, <br /> at doss inOicated II vim. <br /> 2. EHD will.not[fy the applicant If any EHO files a3 of An appointinent for review will be confirmed <br /> approximately five business stays but no Tatar than tett(10)days after mcoipt of applICatiom The files <br /> will be held for a maximum of five business days for review. Appointments should be schaduled <br /> accordins(y. t ' <br /> 3• A file that is actively being worked on by EHD staff may not be Immediately available for re-view. A new <br /> application may be submitted when the file is�ii�atiabio. <br /> 4. Any file nat returned in the Same condition as rola_ased will be reorganized by EHD staff at the expense <br /> of the s licant, Future file mviawg b :tie sa ` <br /> p�+ y tlip�ppilC.Bnt snag require a' 87.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EH0 staff, <br /> 6. Applltatlons received after 3.00 pm will be prayed the next business day. <br /> 1PONFIRMEd APPOINTMENT BATE. � ttlfdl: <br /> PATE CONFIRMED P,4pN,E FAX INITIALS <br /> REVIEWED YES NO :).REVIIEW DA'L'E <br /> �= TaTPL P.01 <br />