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Hecelved fell-U21-(11 03=49am from CCITT G3 y PIERS Envien(aI r 'r <br /> 02-W-2= .G78150Nr1 TU 4005360;,94 P.CL <br /> u..r.nLYUN.V - LYY lC4:xVra� <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES SSS <br /> ENVIRONMENTAL HEALTH DIVISION <br /> z 304 EAST WEBER AV£NUS,THIRD FLOOR <br /> ,_j C.-, t STOCKTON CA 95:02 <br /> (209)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> .''APPUCANT V(r_1n(j BusixEssIAceNCY <br /> —f ADD&CSS 13tS�. Fi,a�S�On� Aye, 5fW SdZE /C& <br /> /408 <br /> �+ PHONE �� �r• 666' 12•� D FACSIMILE ^ l�*^qAA AA`` <br /> ry ` <br /> -` TENTATIVE0APpO1NTMENTDATE w�L•K � �'-� � nMe �� -3 2001 <br /> (Ploae vivo i:01a Duanoes oaye from Cab vl aPPlicetlon aubmapl} --- <br /> Qvlrs 3 <br /> CHECK BOX TO EXPEDITE REQVES REQUEST PROCESSED NQ BUSINESS DAN'S <br /> SIGNATURE OF APPLICANT OATc -�• OI <br /> FILE ADO REBS TH13 SIOE EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> x,01 1Ew.Yo>,1 Rb. 5 o�•KT-o , <br /> 42'l^s NT�wTON 1tD_ or:.1C 3 <br /> B EwToN ILo. sfa titre -5 J t v <br /> OZQ' N��niTOPIKSfK O 35•a f <br /> ENVIRONb1ENTAL HEALTH DMS)ON FILES <br /> -i<� NDERGROUND TANK(UST)CLEANUP 5177E(LOP) O HOUSING ASATEMEN'T Cl SOLM WASTE FACILrtY <br /> - ;kATHER CLEANUP SITE(NON-LOP) C F000 PACILITY C SOLID WASTE VEHICLE <br /> -4,5C VNDMUROUND TANK(MON11TORINGWNIOVAL) ❑ 000 rENNEL ❑ D• RY <br /> h VAZ RDOUS NYA.STF GENERATOR C CHICXSN RANCH ❑ PK437MATMENT PLANT <br /> 0 TIERED PERMITTED FACILrrY C, MOTEUKOTEL I7 PVMPER 7RUCKNARDIOHEM TOILETS <br /> 0 TATTOOMOOY PEIRCING ❑ PdOUSPA ' " . ❑ LAND USE APPLICATION WM3 <br /> ❑ MEDICAL WASTE,FAGLITY 10 PVa>,IC lVATER TeSTCM 0 OTNER(PLCABE SPECIFY ABOVE) <br /> List up to ten addreGses in the space above. Sofectthe type(s)of files from the list above by ChoCRing <br /> the appropriate bOX(as). At least one filo type MUST be seloctod, Fax to(2091 4&t-0138yr�ait to the <br /> address In ffcated above <br /> 2. EHO will notify the applicant ft any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five buc(ncss dayafor review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO staff may not be immediately available for review. A now <br /> application may be submitted when the file Is available, <br /> 4, Any file not returned In tha same condition AS released will be roor9anlsed by EHD staff at the expense <br /> of the appilcant. FUtbra file reviews by tho some applicant may require 0437.00 deposit prior to review. <br /> 5. "TENTATIVE appalntmont dutw must be confirmed with END staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> F <br /> RMF-L�APPOINTMENT DATE TIME <br /> ONMRMED PHONE, FAX INMAL.5 <br /> REVIEWED YES NO REVIFVV DATE <br /> N aa41 <br /> TQTFL P.81 <br />