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TD I`' 104 M- 355 P.131 <br /> fine�,�i�NUIU�f+< <br /> JUL 6X000 SAN JOAQUIN CQUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENJ HEALTH 304 EAST WEBER AVENUE,THIRD FLOOR <br /> I STOCKI"ON CA 95202 <br /> PERMIT/ (209)(209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCAN-rG)31 (AGENCY �� ✓- Ld "� I - - <br /> ADDRESS <br /> PHONE ����,K�d _ FACS WI.E r <br /> I ! <br /> TFNTATNE'APPOWTMFJ.ff DATE -- -- —_-- TWE <br /> (Please(jive 7 to 1 a bminaxa dans frzm dale of zPPC1=EECn iZm_1 all I <br /> CHECK 13OX TO EXp=?F RE QUFST-VTOL04 FEE—REQUEST PKOCMED IN 3 Bt1SfNM DAYS <br /> SIGNATURE 0P APPLICANT DAT �r <br /> FILE ADDRESS Ek{L5 SA?fr RF[a STAlrF E vrzLY <br /> PROGRAM FI.EMENTS SEARCH <br /> 2 E DC7 k4 G - wt <br /> a; <br /> 5 70C <br /> t 1G 3S <br /> t,2, sT�[rTb �- <br /> ig <br /> ENVIRONMENTAL MFAL.TH 0110SION FILES <br /> UNDERGROUND TANK(LIST)OiFAmup BETE(LM o HamINO A5^TEmEuY M WUD WA5TR FACILITY <br /> n QTHFK CLEANUP SITE CNN -L M E7 FOOD FACILITY a SOLID WASTE VEHICLE <br /> G t11 aZRGRWND TANK(MONITodt UGMEMOVAL) E] PCG KENNEL - 0 DAIRY <br /> *HAzARDous%W4TE GENERATOR 13 CHIGIG W 0AWK ❑ PK<i TREAT ENT PANT <br /> 0 TIERED PepjarMO FACILffY ❑ NLMLJHOTEL ED PUMPER TRUCKtVARDfCHEMTOILETS <br /> a TATroazooY PEIRCINQ © POOL ISPA CJ LAND USE APPLiCAT*N SILT WS <br /> L7 MEDICAL WASTE FACILITY 13 PU$LIL'WATEK MTEU 0 OTHER(PLEASE SPC-QFY AaQVE) <br /> 1. List rip to ton addresses In the space above. Select the typa(z) of files from the fist abave by checking <br /> the appropriate hax(es). At least one ffttype MUST be selected_ a s 464-013M_qr rnall to the <br /> adrfmw indicated aiaDre. <br /> 2. ZHD will nottty the applicant It any EHD files exist An appointment for mview will be confirmed <br /> approximately five business days but no later oian ten(ip)days attar receipt of application. The files <br /> virile be held for a maximum of five business days for review. Appointments should be scheduled <br /> a=ordingly. <br /> 2L A file that Is actively beln2 worked on by ERR staff may not be immediaUdy evadable for rav ew. Anew <br /> application may be subl'r Med when the Hie is available. <br /> 4_ Any flee not rEatunU4 In the same condition as relea*W yell be regrganUed by FHO staff at the expenSO <br /> of the applicant Future file reviews by the aeme applicant may require a$78.00 deposit prior to revivW. <br /> lOrENTATIVS appointment da>lee must be oonfhwted VAM EM stW <br /> Applications ireceNed after 9:00 pfn WW be processed the next bassineas day. <br /> CONFIRMED APPOWTMENT DATE �... TIME <br /> PATE COTIF-iRMED PRONE FAX INmALS <br /> REVIEWED YES NO REVIEW DACE <br /> did 09 <br /> TaTR- P.01 <br />