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10-1&-2001D 09:?.'PN F RGTO �a 41545s5b61 [�12 <br /> < uw roc r�utiu�14 <br /> H <br /> SAN JOAQUIN GOUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISIONINC —� <br /> 304 EAST WEBER AVENUE,T)-lRD FLOOR <br /> r+ STOCKTON CA 95202 �J <br /> { t �h, <br /> (209)458-342D <br /> n. = ' PUBLIC RECORDS RELEASE APPLfCATION <br /> P rY_ S.L� •'sG`sd-I/f�%S BUSINESS/AGENCY f ILIIICX� - <br /> ► 0F LL__ <br /> PHONE tO FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE 1 Y.w I -1 � <br /> (Plea*c give 7 to 10 busincsa days rrem date of apPLcation sUbmittat) <br /> XZCK SOX TO EXPEDITE REQUEST-$S7 PQ FEE-RECIVEST FRPCESSED'N 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE: A4/ZL 7 <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> i PROGRAM ELEMENTS SEARCH <br /> 3E Air-po;:FEL <br /> O "—� �: c�Y `r` <br /> S. f ra d 5 4- <br /> Z, <br /> o .S <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> XUNOERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> //❑ OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE t}� <br /> O UNDERGROUND TANK(MONITORJNGIREMOVAL) D DOG KENNEL 0 DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR M CHICKEN RANCH 0 PXG TREATNEHT PLANT l/JC <br /> Q TIERED PFRUITTED FACILITY 0 MOTEUHOTEL 0 PUMPER TRUCK/YARDIC"FMTOILETS <br /> ❑ TATTOOISODY PEIRCING 0 POOIISPA - D LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTE A 0 OTHER(PLEA$E SPECIFY ASOvE) <br /> 1. List up to ten addresses in the spats above. Select the types)of files from the list above by checking <br /> the appropriate box(es). At iQ33t0ne file type MUST be selected. Fax to 1209)4ti4-0131)or mail to the <br /> addre,j�;indicatucj above. <br /> 2. ERR will notify the appticant if any EHD files exist_ An appointment for review will be confirmed <br /> approximately five business days but no tater than ten(10)days after receipt of application. The fifes <br /> will be held for a maximum of five business days for revive. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worKed on by EHD staff may nc:t 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$87.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with E40 staff. <br /> 6. Applications received after 3:00 pm will be processed the-text business day_ <br /> CONFIRMED APPOINTMENT PATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> LREVIEW>rD YES NO _ REVIEW DATE <br /> EM oo is 0047/00 <br /> I TOTAL P,02 <br />