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/� m �lD�� • • I- M <br /> � S1.X11 IJV I,I11�L�1i / <br /> . SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES V <br /> !ENVIRONMENTAL HEALTH DIVISION <br /> i 304 EAST WEBER AVENUE.THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (ZO9)4584420 <br /> PUBL�C1{RECORDS RELEASE APPLICATION <br /> APPLI ANTt, 't •� KY1�y\.\'N BUSINAESSIAGENCY L�`P-a'Y`C+_i's'Si^+ n.�I <br /> ADORES@ �1 • 6 cC,_.+Cz( �G,�� fiAU •C� - c7 oork5 V I,lJ <br /> 'PHON� s' "�St' �F 021 <br /> FACSIMILE �( �j` •r-' 1 - �.'f'�-'3 - <br /> . TENTATIVE•APPQINTMEN' DA7L• TIME <br /> (Plra.�EM1'Q 7 m'10�0y.Tram uoee•of apPliemlon su-0aunN) <br /> WCkECK OOX 70 L•XPt2DrrE REQUEST-S07.00 FEE-REQUEST PROCESSED IN 9 BUSINESS DAYS <br /> G� <br /> SIGN1 A7UREOFAPPLICANTDATE <br /> • i <br /> FILE A00 RES$ THIS SIDE 2H0 STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> L + <br /> 3 � s <br /> 3S (, A ZlED <br /> •I r A <br /> r <br /> M ' ` �; IZNVIRONMENTAL HEALTH DIVISION FILES <br /> N EttGROUN4 TANK(UST)CLEANO' 917E tLOP) 6 HOUSING ABATEMENT 0 SOUO WASTE FACILITY <br /> 42E CLEANUP SITE(NOH-LOP) ❑ FOQD FACILITY ❑ SOLID WASTE VEHICLE <br /> ul , E�43ROUND TA.(K(MCNITORINMEMOVAL) ❑ DOGKENNEL DAIRY <br /> W?i �tDOUs WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> fi�71 Ep PERMPZD FACILITY O MDTELJH07EL 0 PUMPER TRUCK/YARDJCHEATOtLETS <br /> P TA Gj =00YPEACING - 0 POOLJSPA D LAND USE APPLICATION 917£8 <br /> 0 ME)1dALWASTE.PICILRY - ❑ PUBLIC WATER SYSTEM 0 OTHER(PLEASE 9FECIPYABOV£) <br /> (. List up to ten addrasses in the space above. Select the types)of files from the list above by checking <br /> the appropriate box(es)';At least one file type MUST be selected. Fax to(2091464d1137f or mail to thD <br /> address indicated abov2. <br /> 2. ' EMD will notify the applibant if any EHD flles exist. An appointment for review will be confirmed <br /> approximately live business days but n0 later than ten(10) days after receipt of application, The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. + A file that Is actively being workoct an by EHD Staff may not be immediately available for review. A new <br /> application may be swbrttitted whan the file I$available. <br /> 4. Any file not returned in the some condition as released will be reorganized by EHO staff at the expense <br /> szme appf(cant may require ¢507.D0 deposit prtor to ravieW. <br /> of the app(icsnt. Future vile revlmwa by the <br /> 5. 'TENTATIVE appointmecit dates must be confirmed with EHD staff. <br /> G. Applications received after 3;0q 9m will be processed the next business day. <br /> LC.PN <br /> POINTMF_KTDATE TIME <br /> PHONE kX INITIALSYES - NO REVIEW DATE <br /> TnTa D a1 <br /> C7.b7-f�C-�lJ:�ea fN�? - NI71H>VI I <br />