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04-16-2001 08:51W o TO• 113259405632 P.01 <br /> GMtl lUL M1UNI+kN <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBERAVENUE,THIRDFLOOR <br /> APR 1 7 2001 STOCKTON CA 96202 I+ <br /> I (209)468-3420 <br /> LIQ ,I ,;,_ ,I N PUBLIC RECORDS RELEASE APPLICATION <br /> F`Aarucaivr✓A t CN T� C oNS 7 r3h111�( BUSIIteSSfAGENCY r7 Et9 C Oh (0�/S u c7",q/V E !'.VC. <br /> ADDRESS6-473W L-A 4pQ!s,TTOf3 $LVA gTe Z ©S <br /> PHONE }2- 5 - 9 4�- 9 6 3 2 PAC31Ma.E 9 Z 7 �� ✓ 63 2 <br /> i TENTATIVE'APPOINTMENT DATE A 0 TIME <br /> (121 s Dive 7 th 10 busine+a Faye tram C+w of apWtcat1on aubnAVAI) <br /> 0 CHECK BOX TO F"PEDRE REQUEST-U7.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APP K:ANT - - DATE <br /> w FILE ADDRESS PROGRAM <br /> SIDE EHo STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 5 7- `. _ <br /> lmry S a 7 <br /> Oq C O _ 3s.a8 <br /> ��t7 3s.a� f/c <br /> 4;r L 4v- <br /> 7z <br /> {t r <br /> r: ZZR 'C 7c2) <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ERGROUND TANK(U STI CLEANU P SITE(LOP) ❑ HOUSING A13ATEMENT �`EOUD WASTE FACILITY <br /> ER CLFJtNUP SITE(NOK-LOP) ❑ FOOD FAciLrry (�SOL®WASTE VEHICLE <br /> ERGROUNU TANK(M CIN REMOVAL) P DOG KENNEL C1 DAIRY <br /> DOUS WASTE GENEfiA7VR ❑ CHICI�N RANCH t3 PKG TREA7ME3IT PLANT <br /> j <br /> PT]FrR£D Pa<RMIYfTED FACIUTY ❑ MOTEUHOTEL Q PUMPER TRtiCKA'ARDrCHLN TOILETS <br /> ❑ TATT001e00Y PEIRONG O POOUSPA 0 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER STSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ton addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(a ). At least one file type MUST be selected. Fax to=20 464-01x8 or mail to the <br /> addresg in lr lcated a¢ove. <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A ill*that is actively being worked on by END staff may not be Immediately available for review- A new <br /> appllcation may be submitted when the file is avellable. <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 $87.06 deportt prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff, <br /> 6. Applications received afar 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMEKT DATE Time <br /> i <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> t <br />