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Apr 18 06 08: 10a _ p, 1 <br /> W <br /> DAYS IE3CEtY'Dc VM t001FUMMR <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL. HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKI"ON CA 95202 . 0,31qq <br /> (209)4683420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �r t cep y1'1 �1�l �►^t BUSINESSIAGENC}Y <br /> ADDRESS L i (1�nf m i r IU_`•1{ N� .�1> 1'i _ 1 G 1!� - - <br /> PHOtlE Sc. i' C �! FACSIMILE _ Y I d— J��-6 Z Z V <br /> TENTATIVE"APPOINTIMENT DATE TIME <br /> (Plein oke 7 to 10 bustne"days 11mm date of apptftatlon submilfat) <br /> �••CHECK BOX TO EXPEDITE REQUEST-$a 9.00 FLEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> 1 THIS SIDE END STAFF USE ONLY <br /> FILE ADDRESS, PROGRM ELEM NTS SEARCH <br /> 3 <br /> gay <br /> to i <br /> QLfes 6 !Arl <br /> Dc <br /> ,49�6t � - <br /> L4g I <br /> —n <br /> ENVIRONMENTAL.HEALTH I PASION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) Q FOOD FACILITY Y 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMGVAL) 0 DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHtCKFN RANCH 0 PKG TREATMENT PLANT <br /> TIERED PEPJffff D FACILITY 0 MoT IMOTEL O PUMPOt TRUCKWARDICHEM TOILETS <br /> L7 TATt001BODY PERCING - 0 POOUSPA 0 LAND USE APPLICATION SITES <br /> O I EDWAL WASTE FACILRY 0 OTHER PLEASE SPECIFY T_ <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At test one fife type MUST be selected. Fax to(2D93 ffMj 38.M magic e <br /> address Indicated above. <br /> 2. EHD will notify the applicant If any EHD files exist. An appoint hent for review wIII be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of appiicatian. 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 worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file Is avallable. <br /> 4. Any file not returned In tate same condition as released will be reorganized by EHD staff at the expertise <br /> of the applicant. Future file reviews by the same applicant may require a$89.00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> b. Applications received after 3:00 pm,will be processed the next business day. <br /> CONFIRMED.APPOINTMENT.DATE .TIME_ <br /> DATE CONFIRMED, ..PHONE . SAX_ INITIALS <br /> REVIEWED' YES 'NO REVIEW DATEOW 484;24M <br /> svz=03 <br />