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LuCiou0i1 CuN::Lil i <br /> as U:S1US/U'L 1U:53 lr' ilii r"�L iuUU 'TH PAG1= 6]. <br /> ENUIRONMEt4TAL H <br /> 03/01/2ZO2 16:22 46401: Io+a1.aGNuret:► ' <br /> . SAN JOAQUIN G4llNTYPlIE1-SC HEALTH SERVICE <br /> ENVIRONMENTAL HMTH DMSION. <br /> I l_it _ i 304 fiASST WISER AVENUE,THIRD FLOOR <br /> _-i i_: . = STOCKTON CA 95202 <br /> (209)46B-3420 <br /> rrc _I LlC <br /> RECORDS RELEASE APPLICATION <br /> APpucANl y1aC'�GS 1--oL I00 BUSTIYESSII10f:A1C1f 1-�k <br /> ADDRESS 5bo 6+ snc- rc►r+" LA 57�i <br /> 5 2--'7OiaO _ <br /> TENTATIVIr"AppoIAPr1 ENT DATE Wim. 1 4r l ZOO r- T11titZ tb a+►ti <br /> (PI Qas p ya rte of a Ilratlon sub Itt0Q <br /> © C-MCK BOIL TQ EKPEDnX RKQiIE�T-589 <br /> 00 JZFEV--REO P SM) 3 BUSINESS DAYS <br /> DATE LO- <br /> SIGNATURE OF APPLICANT <br /> _ <br /> 1hDORl=88 ThI*WIDE IUM STAFF USE.ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> t 92 Aceµ+ a.t tw <br /> g5D► Nw 99 N (Lealtir4S I i <br /> ihL <br /> 3 6Sa G • Wood hri d t PV-I <br /> ENVIFRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UWn Cj_VANUP Erre(LOP( n HOUSING ASATtl "T a SOLID WASTE FACILITY <br /> QTHLIK CLEANUP Sri'E(NOW-LOP) Cl F000 FACILflY 0 SOLJV WASTE VEM--Lr; <br /> tjtmlRrapROUND TANK(MONITORiriOMEMOVAL) r3 DOG KENNUL ❑ DAIRY <br /> KAZARMUS WASTE GENERATOR M CHICKEN RANCH O pKG TRFATFdEr4T PLANT <br /> 3 MMERED PERMITTED FACMITY 17 MOTEWRWEL' a PUMPER TRUGKlYARDFCHEU TakW-S <br /> C TikTroomoUY PMRCINfl R POO115PA 0 LAND UBE APPLICATION rints <br /> 0 MEDICAL WASr6 FACfLriY -0 PUBLIC(NATER SYSTEM C1 07 HER(PLEAaE SPECIFY A8GI1lE) <br />{ I List up to ten addresses in the space above. Seleet the"x(s)of files from the list above by chwlcnng <br /> the eppropfiate box(as). At least one tale type MUST be salltcted. Fax a 209 46"135 or <br /> mail t2.tjja <br /> addres§InWC11jag§hPX&. <br /> 2. EHD will notify the applicant If any CHO Tiles exist. An appointment for review will ba canflrmed <br /> approxImatoly five buslnass day.a bUt no iatay Urian ten (10)days after receipt of application- Tho 111(15 <br /> will be held for a maximum of five business days forrraview. Appointments should be wahadulad <br /> accordingly. <br /> 3. A file that is actively being worked on by END Staff may not be immediately avallsblp for review. Anew <br /> application may be Submitted when the file is available. <br /> 4. Any fila not retUMe:d in the same condition as released wil!4p rear0anl ed try EFiD at>tTf at the expel�sQ <br /> of the appliratIL Future file reviows by the Dams applicant may mquire a$99.00 deposit prior to review. <br /> 5. *MNTATNE appointment dates must bu confiir ned v Ath EKO staff. <br /> 61 Applicatigns received after 3:08 pm will b•prveosead the next buolnses clay. <br /> CONFIRMED APPOtNTMrzNT DATE TIME <br /> DATE CONFIRMED _ — __ PHONE FAX INITIALS <br /> P"IL"VVED YES No REVIEW DATE <br />