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CP <br /> ( To"d 1tl101 <br /> Ot-18- 0 10:19AM FROM TU 1408267779$�.P.02 <br /> SAN JOACU)N COUNTYPLIBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)4MUM <br /> ,L PUBLIC RECORDS RELEASE APPLICATION <br /> nkic, rT W64 It r E-V V. SWr' T`DUSWESSWAMNCY A+ ";e *td)e CHC. kd,; <br /> x $a-7. &^at ID's Sft.,La T✓>~�, Ice 95 376 <br /> IGNE_ 2o$/»s3� -o7�f1 tAcsPalLa 2oY /83 i• SfSL ' <br /> I <br /> TEEN-rATiVE`APPO1NTmaPn- TATE Fv% 2 r 2.d00 TIME _ t d�,4YI <br /> (Please Biwa 7 to 10 businnaS daye tr0e1 date of appl=tian W mWI <br /> CHECK SOX TO EXPEDBE REQUEST-sza.0oFEE-/R�EAUESr PROCKSBAP M 3 BUIBINFRO DAY$ <br /> GNATUREOFAPPLICANT "440Ar , W!j�k*EA& SkM-Z&)DATE 11.0 ?Lt o <br /> X4.5 AVM22 <br /> a. 1 t 372 <br /> S Ltddiaf'vr Stt 797'11 W. CL J <br /> [AA"s f1wRBta( W.tl at. 7 SAG <br /> ,. 'T93h w. 4.m+.ihlrk 1537 <br /> t1 *4d 7ydo W,4 .tit <br /> 9S'S L <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(HST)CLEMUP SITE(LOP) ❑ HOUSING AHATT2e:ENr O $QW WASTE FACILry <br /> i OTHER CLEANUP"(1,10114") ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNWROMNO TANK(MOHITORW-amMDVAL) ❑ DOC KENNEL ❑ DAIRY <br /> ( HAZARpat4 WASTE GENENATOR ❑ CHICKEN RANCH ❑ PKO TREATMENT nANr <br /> TIERSD PGRMITTiO FACILITY ❑ MOTE"ML ❑ PUMPER TRVCKlYARMHEM T04M <br /> TATrOO/a mPzmmG POpUSPA ❑ LAND VXAMLICATtON#M5 <br /> MPDvC WA4T6 FACILITY ❑ PUDUC WATER SYMNI O OTHER PLEASE SKGIFYAa vff) <br /> List upto-len addresses In the space above. Select the type(e)of files from the Nat above by dmc'king <br /> the apPFOPrlate bax(es). At leant one file type MUST be selected. fM to(207)484-0788 Cr mall te'the <br /> ad�EiJ00111g l above <br /> VA:MI.Wify the applicant If any END files exist. An appointment for r6vI9W will be ooflryrmed <br /> 1p�arately flue business days but no later than ten(10)days after receipt of application, The files <br /> W1NSCh6ld for a ma ITIUM of five business days for review. APPolntments should be scheduled ' <br /> A ,s actively being worked on by END staff may not be immediately available for review. A now <br /> gpPllcat,on may be submitted when the;hie Is available. <br /> Any fila net returned In the Same conditlan as released will be rearganizod by END staff at the expense <br /> i of the applicant Future file reviews by the same applicant may require a 578.OG deposit prior to review- <br /> 'TENTATIVE appolnfinent dates must be confirmed with END staff, <br /> Applications received after 3:00 pm will be rocesseAthp naxt businass day- <br /> )NFIRMED APPOINTMENT DATE TIME 1 <br /> TE.GOiIFfRtAED PHONE FAX INITIALS <br /> VIEWED. YES NO REVIEW DATE <br />