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2 t3 f�RS Environmental Svos.' 40�P159-1224 P. 1 i <br /> eceIV d -e 0 :4IERS Ent� . )Onmental page 1 <br /> 0 Art9am from CCITT G3 PFRCIl TO 14385E50�34 P.0'1 <br /> w. L o n iI Lnul dL <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> Cil 1 ;FIALIh ENVIRONMENTAL MEALTHDIVISION <br /> 304 EAST WEI3CRAVENUE,THIRD FLOOR <br /> STOCKTON CA 96202 <br /> 02 MOR -7 AN 9- ((,, 111466.3420 <br /> P�BLIC RECORDS RELEASE= APPLICATION <br /> APPLICANT_ IeQ✓)01 - eUSINE3slACCNCY Its <br /> 1 <br /> ADDRESS 1'j-3,6 rS. ( A 0 (� ,Iz g <br /> PHONE 00f) s Lff+(y- 1211 <br /> 51FAC3IMRE :> <br /> TENTATIVE"APPOINTMENT DATE A.I /Ap ITIMP <br /> Plewa o 7 o e Ualne§`�� pllhti ubmittel) <br /> CHEC!(BOX TO EXP DiTE RERUEST QUE3T f E93`��EUSIN S DAYS _ _ <br /> SIGNATURE OF APPLICANT DATC _;5-.77-0'Z <br /> it <br /> PILE ADDRESS ! THIS SIDE EHO STAFF U9E ONLY k <br /> .� PROGRAM ELEMENTS SEARCH <br /> 0 W. 11t1, Sik -. ria ,2 53 <br /> W Its 3 x4 ks <br /> III S.ty Lb <br /> Soo VV. <br /> i <br /> II <br /> 1 <br /> ENVIRONMENTAL.HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ISI ❑ SOLID WASTE FACILITY <br /> ' OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY E 0 SOLID WASTE VEHICLE 9 <br /> UNDERGROUND TANK(MONITORINGIREMOVAU b DOG KENNEL - 'CI DAIRY <br /> HAZAROtlU3 WASTE OENERATDR ❑ CHICKEN RANCH 0 PKa TREATMENT PLANT <br /> ❑ TIEREO PERMITTED FACILITY O MOTEtJKOTEL C PUMPERTRUCKlYARD/CH2M7OILL7S <br /> Q TATTO01BOOY PCIRCING ❑ PCOUSPA - t7 LAND USE APPLICATION SITES <br /> O MEDICAL WASTa TACILIT( O PUBLIC WATERSYSTEM � C OTHER IPLEASE SPECIFY ABOVE) <br /> I <br /> 1. List up to ten addresses in the space above. Select the type(s) Of files from the list above by checking <br /> the npproprlato box(cs). At least one file type MUST be selected, Fax to (2999)464-0138 or maiJ_to the <br /> address rndlcated t eye. I. <br /> EHD will notify the appl[cant if any EHD files aXist. An appointment for roview will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The fifes <br /> will be hold for x maximum of five business days for review. Appointments should be scheduled. <br /> accordingly. <br /> 31 A ilia that i6 actively being worked on by EHD staff may not be immediately available for review. A new <br /> 6131311 tion may be submitted when the filo Is available. <br /> 4. Any filo not returned in the same concitlon as released will be reorganized by EHD staff at the expense <br /> of the applicant. Futuro file reviews by tho same applicant may require a$87.00 deposit prior to ravlow. <br /> 6. 'TENTATIVE appointment dates must be confirmed with FHD staff. - <br /> 6. Applications received after 3:00 pm will be processed the noxCl usiness day. <br /> ,p <br /> CONFIRMED APPOINTMENT DATE TIME i <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> it <br /> REVIEWED YES NO REVIEW.DATE - <br /> I. uuwn <br /> TOTPL P.01 <br /> ij <br />