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i <br /> -07-2002 10:50 FROM:CITY 9TKN HRD/ACC 2099378822 _.-'4640138 P.002/003 <br /> b3/I7l/11117t ',n:2a -rutin ' > llia�aG.titI ER <br /> SAN JOAQUIN COUNTYPUBLIC HEALT SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 FAST rEI38R AVENt7F,THIRD F1,O6R <br /> 96202 <br /> STOCKTOh1 CA <br /> &0)4684420 <br /> 02 r1Y --� :.jad- WALIC RECORDS RELEASE APPLICATION <br /> APFLIGANT '+�S+Ii SUSIME11SIAGINCY 41V Of Sh <br /> ADDRMS 0 str 40 <br /> PHONE a" :L• PAcallillEE dq a� 7. �4 <br /> s <br /> TENTATIVE'APPOINTMENTpATZ MI4i�i�✓ („� TTM6 /P•eD"1i./uI . <br /> (Pl�a�eIvm tv 1e t1 atria dnyet m ditto Of� plicatia drrtlttmll ' <br /> � p a <br /> CHECK BOX TO F-PFDI REQUOT:S°fl6IXd FE£FI qu ,AgPFt. C�sar I's r1AYS <br /> SIGNATURE OF APPLICANT ��d~t � .!'=rw� — � DATE <br /> FIL A IRE THIS SiE EHI3 STAFF U98 ONLY <br /> PROGRAM EUMFEWM SEARCH <br /> ✓ <br /> Aj05 LU. w rct.~F <br /> IDS P. <br /> n 17 <br /> ENVIRONMENTAL HEALTH DMSION FILE$ <br /> I> NDPRGROUND TANK JUST)CL9MVP SITZ;(LQP� 19��IQU®1NG l4�AfEHISN�' UD WASTE FACILITY <br /> �Y C�YF��A!]}FACILITY �I.ILM WASTE VEHIC1.Ir <br /> GTHER GLJI ANUP SITE(MON-LOP) y <br /> lI?r Nf7FRCuRCtIND CANKINIGNITdR1NG�IREh1�VAL1 KENNEL p xGTRF_ATMI&N PLAMT <br /> CY AZAit1 t1S WABTN t�ENERA7G1 �fiHICKEN RANCH v ER TR1iCFtlY%01CHEM TQI�eTM <br /> ! 1~REt3 PERMrrTQl3 WAC14TrY t�'y10"17ti1.lHgTi`L VOTHIERiPt.l�ABr:I$P iN A>3oVg1 <br /> 00180DY PF-IRC41NO fJ IJ6i'A <br /> pDiCAL WA$IV-FACILITY RllE9LIC 1NATER BYSTI�M <br /> 1. List up to tarn addrasses in the space above. Select the type(e)Af 1111125 from the list wave by checking <br /> the appropriate box(es). 'At(mast one file type MUST be aelected. Fa a 2. 4.6. 10 Or Mailtb t` <br /> addrms l k hove{ <br /> x, END will notlfy the applicant if any EH111files exist. An apPolntmant for revley+will ba confirmed <br /> approxlmlataty five busln6SS days but h later than tan ('t0)-day$after raeOlpt of application. The flies <br /> will be hold for a maximum of five b Ap <br /> usittiess days for t6law. ppintments should.bo scheduled <br /> accardingly. <br /> 3. A file that Is actively being worked on by FHD staff may not be Irrlmodlataly available,for review. A now <br /> appllcation may helsubmItted when thq!flla IS Available. so <br /> 4, Any file not returned in the 92MO r=utur®Elle revlevra byion tits the9amaloased will be appE Gant may require a$80 anized by 0 d*pa i prior to eMD staff at tho review. <br /> of the applicant <br /> 5, *TENTATIVE appointment date4 must be Confirmed with FHD staff, <br /> G. Applications ravel-jad aftsr 3:00 pm will:hs procaused the next bu5lneBs day. <br /> CONFIRMED APPOINTMEN-'DATE TIMISS <br /> DATI=CONFIF2MED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> P� <br />