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- - - . - To <br /> 19168a `J1 2 P.0 . <br /> SAI+1 D� <br /> JOAQUIN COUNTYPUBLIC HEALTH SERI? d& <br /> TH DIVISION <br /> ENVIRONMENTALvg UELTI-1M FLOOR OCT 2 <br /> 304 EAST WESEt 12 2000 <br /> STOCKTON CA 95202 <br /> (209)46$.3420 IRONMENT HEA H <br /> PU13LIC RECORDS RELEASE APPLICAT16 <br /> APPLICANT _____ ` , r <br /> ppRRgSs , `� � <br /> �AcsIlrlit.E ,p <br /> TENTATIVE"APP91MTUi£N7 DATP +air a31 cyU Y1ME _ Q � <br /> (Prase give 7 to 10 busing dolls from date pI application submittal). <br /> I--I CHECK BOX TO EXPEDITE RECLUE-3-f-3g7'00 rg;.-REQUEST P I;SSED IN 3 SUSMIESS DAYS <br /> I3AT>= i oI a' <br /> SIGNATURE OF AFpLICANT <br /> Lq £EHV g1'p�i+uSE ONLY <br /> ADDR"S PRodKA1A ELEit�31Ts'SEARSai <br /> ty. <br /> M2t� v d �• <br /> V �}et <br /> El+1V(RONMEt;TAL I"IEALTN DLMIOM FILES <br /> i 14 CkA <br /> 1HOUSING AbaT><bKEett ❑ SOUP WASTE FAC0.nY <br /> IutiT�Ei2t3Ra'3NE?TANK LUSTI CLEC ItlP SITE iL�_1 Q HQQ_=go0D-F^0—_Me e = _ [3 SOLiD 1NA5 YENICI lE <br /> OTHFA CLEAKup SITE(Holt-LOP) !7 110G KE 0 DAMY <br /> UNDERGROUND TAIRKC SlavfazioFtlNGIrtEObaVA-) n CNIGCEN RANCH D PKU Y��W PLANT tt1_�s <br /> x ItAZARDOV3 WASTE GENERAT011, d MOTELIMOTEL ❑ pLtdPERTRUCK/YAR17�G„ <br /> O LAND U APPWCATtQN$ItW <br /> 0 -IIERED PFIVII' -9D FACUUTY ❑ pboLJSPA Q 07NER(PLEASE GPECIFY AUC 1E) <br /> O -rATIOMODY PEuCMO puaLtC WATER WSTEb <br /> 0 ME0tCAt.-WASTF-FAGILI'7Y <br /> List u to ten addresses In the space ataoVe. Splgct the typ (s)of ti{t:s from the l{st nl�ova b*; �klnp <br /> 1. R MUST be Selected. ; <br /> the appropriate box(e5). At toast one tilt type <br /> Addms ipILI ated a3ssiY appointment for review will bs c r n <br /> 2. ENi]will notify file applicant if any EHD files r than <br /> to a 0) after receipt of application" T files <br /> approximately five business days but no later yS f ten V'S0}days ad <br /> W111 be heir(for a maximum of five buSlneSS days for reY(ew. Appointments Should be sahe�lu <br /> accordingly. <br /> s- A rile that is actively being worked•o the by <br /> i H at&ff in y not be immedidtety available for ramie AAew <br /> ms <br /> application may be submitted wh*.n t HD staff at Lhv exp <br /> ti Any file not rotumed In the same condition as released wilt be reor9 ire a$7.00 dapo t prior raview. <br /> Q same a lic ant may req si <br /> of the applicant. Future i[I®reyieyrS by th PP <br /> *TENTA"I NE appointment dates must be conformed with EHE stall. <br /> 6. gpp►Icatiarls received after 3:0 pm wlil be processed the next businSss day <br /> TIME <br /> ONIFIRMED APPOINTMENT DATE, <br /> PHONE FAX INITIS <br /> DATE CONFIRMED <br /> Fw eViEYYEU YEs NO REY1E►N DATE <br /> `Crt�QI P R? <br /> al VV 14 <br /> I n <br />