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=�. <br /> U='YC J41C3{ r_vJc <br /> bKTE R6.GEIVEU <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> t <br /> 304 FAST WEBER AVENUE,THIRD FLOOR <br /> ST CKTO14 CA(2139)468-3420 2a2 APR 0 7 2000 <br /> PUBLIC RECORDS RELEASE APPLICATIQ ,,, � ;_, � , _R , <br /> APPLJCAN ,�IJJ�/.(' rC�E? �LlrF1 _suslw�sslAGENor, t t�/� Gc� � ('ERMI <br /> ADDRESS <br /> PRONE "` FACSIMILE <br /> TENTATIVE-APPOINTMENT Dais TWE <br /> (Ptesse give 7 to IQ business days from date of app{ioation sudmiltal) <br /> Q CHECK BOX TO EXPeDITE RE40UE,$T•-$78.00 FEE RE00ESY 1AR01;eSSE0 IN 3 BUSINESS"DAYS <br /> SIGNATURE OF APPLICA!:! � DATE <br /> FIS ArirtbcAC . - I <br /> HI� <br /> nth' - �• - , <br /> 3-�7 <br /> 3 a 5 <br /> IQ AIA <br /> F _j!� d - - <br /> C <br /> � Oeca <br /> ifJO 3�`. �y Fig <br /> 1 <br /> ENVIRONMENTAL HEALTH DIVISION FIL ES- <br /> NDEACROUND TANK(UST)CLLANUP 91TE(LOP) Q HOUSING ASATF-mur TXJ SOLID WASTE FACILfrY <br /> . � <br /> OTHtiq CLEANUP MME(X40N_-OP) I3 F000 FACILrry E3 SOLID WAS=TE VEHICLE � <br /> rN0ERGRCtJN9 TANK(MONITORINGMEMOVAL) D DOC KENNEL 0 DAIRY <br /> AZARDOUtS WASTt:GENERATOR CI CHirKEK RANCH 0 PKG TREATMENT PLANT <br /> TIRED PERMMMD FAciLaTY O MOTELII CFrF:v, Q PUMPER TRUCKIYARD(CHM TOILETS <br /> 0 1ATTCKWOODT FORCING U POQLfSPA A LAND USE APPUCAT10N SrMS <br /> 0 0dCI:xC0kL WASTE fACILITY 0 FUULIC WATER&TSTEM C3 OTHER 0MLEASE SPECIFY ABOVE) <br /> 9. List up to ton addresses in the space above. Select the type(s)of files from the list ab*ve by checking <br /> the appropriate box(es). At feast one file typo MUST be selacted. Fax to(2 09 138 or moil to the, <br /> i <br /> ad frsdic ted abov .; i <br /> z. EHD Will notify the 8pplicant if any EHD f leS exist An appointment for reviow will be canfirrned <br /> approximately five buslness days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maxis' Um 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 review- A new <br /> 8pplication may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reargartized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$78.00 deposit prior to review_ <br /> S. "'TENTATIVE appointment nates must be contflmed with EHD staff. <br /> 6. Applications raeoived after 3:00 pm will be processed the next business day, <br /> " 4 <br /> CONFIRMED APPOINTfvlEW DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EM 04 U 07/"M <br /> TOTAL P.02 <br /> - i <br />