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0 0 -JL7�5- � <br /> 2U'd lu1Ql E,m LOG-WVaaa �� <br /> I� <br /> p.frrtEceveo SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES 11,f���'' _�'� <br /> ENVIRONMENTAL.HEALTH DIVISION <br /> 304 EAST WESER AVENVF-THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 + `I: I_.i H <br /> PUBLIC RECORDS RELEASE APPLICATION _ <br /> APPL)CANT c,... _CcLt BUSINE%SrAGENCY <br /> ADDRESS r',L. S, T�f J�_ (A fl� C- A <br /> PHONE <br /> TENT ATIVE'APPOINTMENT DATE -)LA " — TIME <br /> )A <br /> (Phsn 9lvn f to 10 n"iM day&tnNn dao of aPPlit¢I inn eubmi8al) <br /> CHECK SOX TO EXpE af:REQUEST-STa.aofET E-RE L ESsIOI JD 9WFSS DAYS )� Z�� � <br /> SIGNATURE_OF APPLICANT —% '_ DATE t�tSx'� I ._ <br /> FS.E ADORES4 <br /> � Aat iJ�Jocr� L. 35� rn.:' <br /> -- <br /> Je. <br /> A �. 19t�.n J•tt r - _.__ <br /> .. � G.e AS L✓17'� Y-- 2L �Lt) <br /> ENVIRONMENTAL.HEALTH DIVISION FILES <br /> XUNDERGROUNP7ANK(US7)CLEANUP SrrE(IAP) d EOODINGCAii ABATEMENT 6d SOLID WASTE FACILITY <br /> rl SOLJD WASTE VEUW-LE <br /> W OTHER CLEANUP SJTE(NON-LOP) ft DAIRY <br /> 21UNOERGROUNDTANK(MOWTORINGMEMOVAW ❑ DOG KENNEI- LpKG TREATMENT <br /> EATMENTPLANT <br /> al WZARDOUS WASTE GENERATOR D CHICKEN RAU D PUMPER TRUCKMAADICN <br /> EM TOILT <br /> O TEHEO pERMfTMDFACIUTT C mama-N D LAND USE APPLICATON sim <br /> POOLISPA <br /> O TATTOOMODY PEIRCDJG ❑ PUBLIC WATER SYSTEM OTHER(PLl1ASE SPECIFY ABOVEI <br /> MEDICAL WASTE FACIUTT <br /> select the type(s)of files from the list above by checking <br /> List up to ten addres3es In the space above. to <br /> the appropriate box(cx). At least one fib type MUST be selected. FaxL x09)4GA-4138 or majl to <br /> a res,indic ove. <br /> 2 EHD will notify the applicant if any EHD files exiAL Ah appointment for review will be confirffAd <br /> approximat6y five business days but no later than ten(10)days attar receipt of application. The files <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for Tevlaw. Anew <br /> application may he submitted when the file is available. <br /> 4. Any file not returned in the Lama condition as released Ydil be reorganize <br /> a d by EHO dOTsta f prior to review. <br /> ff at the tXPQASO <br /> of the applicant. Future file reviews by the name applicant may require <br /> 5. 'TENTATIVE appointment dates muSl be confirmed with EHO staff. <br /> 6- Appurationa received atter 3:00 pyn will be processad the next bDsinese day. <br /> �� w - a -. t.w" N• tic IS: <br /> y,�l'�.E�NK+'`^IR <br /> u ' t9{, wiutR�YNx-.uY£5,,:...,.,:.:PNO'c".>�x <br /> a�vm.. . Wodzi Wd9n:,70 6561-GA-ZI <br /> iYl'd r�Zbt]b0 <br /> 01 <br />