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10-02-2000 @18-e1AM FF TO 19256863099 F.01 <br /> D.:'f k biEC:1VE4 i i LAU LM KUN 3L'R <br /> SAN JOAQUIN OOUNTYPUBLIC HEALTH SERVICES <br /> ! EIIVIRONMENTAL HEALTH DIVISION <br /> s ' i dO4 FAST WEBER AVENU E,THIRD FLOOR <br /> i STOCKTON CA 85202 <br /> r <br /> (209)460 <br /> ki <br /> 6BLId-RECORDS RELEASE APPLICATION ° <br /> APPLICANT� � BUSINESWAZENCY <br /> iI( ° 9:1 p <br /> ADDRESS '0 <br /> r 'RO� <br /> RDx* • FACSfAnE T �PfSTErTATlvr-APPOTaCNr DATE Lo J � Tf� <br /> (please jive 7 to 10 dual sea Of 2ppllcad10n submltW) <br /> CHECK BOX TO>XPEDTM REQUEST-387.04 FF.>r-REQUEST PROC IN 3 13USR*SS DAYS <br /> SIGNATURE OF APPL.ICAN3� ;DATE <br /> { <br /> Fltf ADORES THIS SIDE EHD STAFF USE ONLY <br /> PROGRAN ELEMENTS SEARCH --- <br /> s E +GSI Lo --- <br /> w <br /> - <br /> I4 <br /> Min E <br /> q b 1i CIDE64 <br /> l <br /> ' r kVIRONMENTAL HEALTH DIVISION FILES <br /> Q RlHDErtARO+JMD TAiyls Nom?C�Z4rIUl'brrE(LGp) d FOODHOUSABATEHENT SOLID WASTE <br /> VEHICLE <br /> ,0,OTHTE(t <br /> EEZ CLEANUP STi ON-LOP) i ❑ DAIRY <br /> 'g.UKDF_R(;ROUtjD TANK(NI0NITbRLNG1REMOVA L; M 000 KENNEL G AKGTR1;A7biENT PLAI4T <br /> f1AI11F2Dt]11S WASTE GENI;RAT06t ❑ CHICMN RANCH <br /> Ti zAR PElthtITTED GENErY i is MWELiHOTEL M PUMPER TRUCIKUYARUMHEMTOIL.ETS <br /> ❑ TATTOO/aODY PEIRCING . i 1lODL1SL'A l�.LANA USI`APPi ICATLON SrFE3 <br /> M EDICALWAgM FACILITY ! PLISLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY AIMNE) <br /> 7. List up to tart addresses Ithe space above. Select the tppe(s)of fil®s from the list above by checking <br /> the appropriate bq (85). :t least one file type MUST be selected.. Fax to ONE 4 0138 or math to the <br /> ad in Scat <br /> 2. EtiD Will notify thajapphont if any EHD file exist. An appointment for review will be co rrtteti <br /> approximately five;busin"s days but no later than ten(10)days after receipt of appOcation..The files <br /> will be held for a maximum of five business days for review- Appointments should ba sclwduled <br /> accordingly. <br /> 3. A file that is acttvedy being worked on by EHD staff may not be immediately available for review. A new <br /> application may bA submitted when the file is available. <br /> 4. Any file not return d in the same condition a5 released will be reorganized by EHD staff at the ex arts . <br /> of the applicant. Mire file reviaw6 by the same applicant may require a$87.00 deposit prior to review. <br /> S. 'TENTATIVE appojntrnent� dates must be Confirmed with EHD staff.. <br /> E. Applications receWod afte� 3:00 pm yirili be processed the next business day. <br /> t � <br /> CONFIRMED App0IKTMEt4T DALE TIME <br /> DATE CONFIRMED <br /> RHONE FAX INITIALS <br />