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-SAN JOAQUIN COUN-1 YPUSL1C HEALTH SERVICES <br /> . ;ENVIRONMENTAL HEALTH DIVISION <br /> ! 304 FAST WEBER AVENUE,THIRD FLOOR <br /> �" STOCKTON CA y6202 <br /> I :,2= L C f <br /> (209)468•3420 <br /> ' <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLIfAKC t UBtHE=•S/AGSNCY <br /> ADDRI�ss l�3� !.1/��irJ �-[v� .S{-r�G-K-�/t/ C�• �•- <br /> FACS/I MI LI! f <br /> TI;NTA�VE'APPOtKTMEttrDATL TIME • 3� 7�U �.f��/S�fT/T <br /> � (Ptsa.a fltvc T co 10 but nQ�:.,,y,hem dale or appnot�o•.suemlttat} <br /> © HECK SOX 70 EXPED$$REQUEST•M7.0D FEE-i�EQ T P [SS£D l SUSITIFSS RAYS <br /> SIGN 5NORE OF APPLICANT 'y4 r-G_ , 1") LI wL DATE o� � <br /> FILE AGDAESS TX*SIDE END STAPP tj99 OeU <br /> PROGRAM ELEMENTSCZ <br /> SEARGIi , <br /> O <br /> . Q <br /> ' 1 <br /> • i <br /> i <br /> ` ENVIRONMENTAL HEALTH DIVISION FILES <br /> fKAVAVNpI E7iGRAUMA TgNli(V$'1•)CLEANUP SfrE(LOP) }40U31Np gBATEMEkT G SOLID WASTE FACILITY <br /> li ER ROUNUP 817E(MONITOR) i Jif FOOD FACRrrT D SQUO WASTE VENICLE <br /> AO0U3 <br /> ROUhiA TANK(HONITORINGtREMOYALJ DOc KEr1NEL ❑ DAIRY <br /> WASTE GEN&RATGA. ! 0 CHICKEN RARCH ❑ PKQ TREAThMPMYPLANT <br /> PEPJAM90 FACtUTY <br /> O T 0of8O0Y PF119CING O POO"PA�L O PtIMPEA TRUCKIYARD1CNEM TOILM <br /> ❑ M ICAL WASTE FACILITYO PUDL.IC WATER SYST>!ht ❑ p H8R 1►eA,SE SPECIFY ABOVE) <br /> 1• List up to ton addresses in the space above. Select the typo(&)of files from the list above by checking <br /> the appropriate Dox{as}' At least One fit®type MUST ba satecteG. FAX to(M)464-0138 or <br /> addrass Indicated above matt to the <br /> 2• EHO will nodfy the appL1cant it any'EHA fil"exist. An appointment for review will bo wnfirmed <br /> approximately five b"'n$ss days but no later than ton(10)days after receipt of application. 'The files <br /> will be field for a maximum of five business days for review. Appointmtnt>:should be scheduled <br /> I accordingly_ <br /> 3• 1 A Ric that Is actively 6ati1p worked on by EHD staff"wy not b I m <br /> applicw(Jvn may be subs tltted when the filo la available_ g m cdiataiy available for revlow. A naw <br /> a Any I"not returnGU In tiiho aamm co <br /> of thea ti zadition as rT+laasad wllI Da reurVanized by EHa staff at the CApensc <br /> S TI cant. Intma t o tgs m s by a e>:hu applicant may rOgUire a$87.00 deposit <br /> Appil7ATiVE appointmeht psttts must be confirmtd with Wit)staff. <br /> 6. I Applicat{ons racelvQp ptivr to rcvitw. <br /> itlter 3:t)0 pm rt111 bq. e pracvas¢d the next business day. <br /> t • <br /> CC) II FIRMED <br /> APPOINTMENT DATE <br /> DATItCONPIRMED T E <br /> REV] w,ED PHONE FA)( <br /> YE$ NO INITIALS <br /> REVIIEW DATE <br /> TOTAL P.01 <br /> T6 39dd WdHQlO �1IUl _. _. _ <br />