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DATE KCCE]YEo f" ... EAU LOC NUMBER <br /> SAN J0 UIN COUNTYPUBLIC HEALTH SE "ICES <br /> ENVIRONMENTAL HEALTH WVISG <br /> .304 EAST WEBER AVENUE,THIRD FLOOR <br /> J STOCKTON CA 55202 <br /> (209)468.3420 <br /> PUBLIC RECORDS RELEASE APP C T N r <br /> APPLICANT l r� 7- BUSINESSIAGEHCY <br /> a <br /> ADDRESSCP Xpq <br /> AFIDtrF_ C �6 4 FACSIMILE r - <br /> TENTATIVE'APP0iNT 11EK7 DATF TIME <br /> (Please¢Ivn 7 to 10 business days from stale of apPllcation sub�rilE <br /> CHECK BOX TO EXPEDITE REQUEST•$78.00 FEE-REQUi=S r PROCESSED IN 3 BUSINESS DAYS.:;W.,-A :31 D L <br /> SIGNATURE OF APPLICANT <br /> FILE ADDRESS <br /> V1440 JAW <br /> a <br /> S &0 <br /> r <br /> ENVIRONMENTAL HEALTH DIVISION FILES , <br /> CLLtTY <br /> EANUP SIT£(L4P) U HOUSING ABATEMENT O SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(UST) ❑ FOOD FACILITY C1 SOLID WASTE VEHICLE � <br /> OTHER CLEANUP SITE(NON-LOP) p FOG KENNEL n I}AIRY <br /> UNDERGROUND TANK(p10NfYOR1NGlftElpOyAL) C7 C}{IGKEN RANCH 17 PKG TREATMENT PLANT <br /> ttAZARD0U3 WASTE GENERATOR O IAOTEL1HDTEL ❑ PUMPER TRUCKfYARWCHEM TOILETS <br /> -nEREn PERMITI•ED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ TATTOOMODY PEIRCING d PU13LIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ASOV£) <br /> © MEDICAL WA51'E FAGILiTY <br /> i. space above. Select the types)of files from the 3lst above by Ghecicing <br /> List up to ten addresses in the <br /> the appropriate box(es). At Was one fine type MUST be Selected. Faye to ('09)464-9138 or mail to the <br /> address in !gated_ 5a�%. ointment for review will be confirmed <br /> 2. EHO will notify the applicant if any EHD files exist. An(fsp y !!cation. The files <br /> approximately five bUSlness days but no later than ten 10) days ftshould be sch8. The <br /> will bo Yield for a maximum of five business days for review. Appointments <br /> uted <br /> accordingly. <br /> 3. A file that is actively being worked on by I=HD staff may not be immediately available for review. Anew <br /> appllcation may be submitted when the file is available. EHD at <br /> �}. Any file not returned In the sem®condition as released <br /> caw^t m Y require a$8y0U deposit prior to review. <br /> of the applicant. FDtDre file reviews by the same app <br /> 5 }TlrIVTATIV appointment dates must be confirmed with EHd staff. <br /> 6. Applications received after 3:00 pm will be roeessed the next business day. <br /> KL.EINI-ELDEIt <br /> CONFIRMED APP, "`° i '�"•�: — <br /> �;,,teldm. Ir1ITIALS <br /> D)ATE CONFIRMED _ EAT — SLz I t n C-& sem+ <br /> smitten.CA ss7,os <br /> Dwk 344 rwq+w C�T'3�]745 <br /> REV IEWED e — - �'•+� czo9r -nazi <br />