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04-16-2001 08.51W qF1 To 19259403632 P.01 <br /> i+�.1'11}(t{L'iY�D EMO LU4 rtwrw[ <br /> SAN JOAQUIN COUNTYPUBLiC HEALTH SERVICES <br /> ! ENVIRONMENTAL HEALTH DPASIOM r� (p___ <br /> i 304 EAST WESEIR AVIENUE.THIRD$~LOOK <br /> STOCKTON CA 98202 - <br /> ' MAY 3 0 20Ot <br /> i <br /> PuBLiC RECORDS RELEASE APPLICATION <br /> "PUCAW L 6 N 1 00 STS l7��N $LlsirrAflFCY 6 t1_ 0 C_6A1 C 6 4estf r�� 'if ` 'N!% <br /> Bio S�73 Nr. 443.9403WWS eVA Si rz_arS-' <br /> PHonI 9 S-' a ,"z PACSIrMAX.. 22- S- .9410-fid 3 2 <br /> TEHTATiVE"AppotAllIArmr LIwm TIME <br /> (Phase pivs 7 io id buakrrddays+roFn dat*of appoinwan s1brn ttal) <br /> M CMICK BOX TO EXP1D[�'iZ REQUEST-SV.09 FU S REQUEST PR C EDW 3 HU13INM DAYS <br /> SIGNATURE OF APPLICANT DATE. <br /> F gpDhE>#8 THn SIDE SHO WWF UW ONLY <br /> OLlT Sy'. S veA ra, 4-D � - <br /> CO 54'IYT ST. 747 e k7-ell 35,:-2 c�- LZ). <br /> C Lir Y a .t' N� <br /> C T� ircr S 0 C T P ,? <br /> IRO R SncicrObr3sa <br /> S. cffjA o d k oy! .295/ F <br /> - C <br /> 00 1. rot rQG d G• <br /> 4 <br /> Ei,IYIRONMENTAL HEALTH DIVISION FILES <br /> �+J"9EROROUND TANK(UST)CLAMUP SITE(11-W) Cl 10USIX0 JISA7EWNT A<SQUD WAWM PACILMY <br /> i3THER G YARUP SITE(NOMAJOP) o F000 FAt.`l M es,656 WAzim VEHICLE <br /> � r 140EROROUNP TANK(i�4oNmN�{�}/iiFMOVAL) IP DOG 99HREL ❑ VAiRY <br /> ATr4RQt7[3S WA9r78 4TIMERATOR 0 CNX=N FeMGH L3 P3KCi TRSATi1ltiY f!L�NT <br /> cu inaR,FA Pimun rAD FACUJTY ❑ 1007WHOTPL C3 PUMPEkT'RUCI4YARpfCMATOILIM <br /> 17 TAT OMODY PEIRCWG 0 POOLISPA 17 LANA USIR APftXATKM WWW <br /> 13 MWICAL,WASTE FACH17Y ❑ PUBM WATER MTEM t1 OTHER'(PLW"SPECIFY AGOVW <br /> 1. List up to to t itddra$rex-in the spalc•sbovo. Select Aho typ*(s)of tike from the list above by ch"no <br /> the appropriate box(es)- At least one file typo MUST be aekctod. FAX1SzjR09)•414409aft or Mail to the <br /> Addrejg Ind62ated above. <br /> 4 2. END wits notify the applicant If any END file*exiat. An appointment for review will be confirmed <br /> approximately five business days-but no later than ten(90) days after receipt of application. The flits <br /> will be hold for a mrximu rn of five bustnesq days for review. Appointments should be sche"ad <br /> accordingly. <br /> s 3. A til*that Is actively being worked on by EN6 staff may not be Immediately available for review, A now <br /> application may be submitted wtwn the fae.is"liable. <br /> 4. Any fAs not retumed In the same condition as releasod will be rsoiganlsed by EHD staff at the expert" <br /> of the aprplicont. Futuro We reviews by the same applicant may require a $87.00 deposit prior to review. <br /> S. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications recelvsd&Her 3:00 Tim wIll be processed the naxt business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> i <br /> Q.A%M CONFIRMED PHONE FAX INITIALS <br />