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I! -- I' , , - ".1 <br />7-` ! <br />4-,4-,,.,3jVED <br />DTL RECFwFn <br />DEL. 1 5 1999 �AN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />AL�TH ENVIRONMENTAL HEALTH DIVISION <br />ENvli(�liV Vit_ -L. I"- 304 EAST WEBER AVENUE–TMRD FLOOR <br />PERMIT / SERVICES STc3cKTON CA 95202 <br />(209) 488-3420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPUr.,AIvT V �cS r..` <br />I h j%-, C--"- <br />RMINESaIAGENcy L-t� F Tn C , <br />EMD LOG WMDER <br />ADDRESS <br />1 <br />PMONE 2 tACSWILE <br />TENTATIVE' APP tHTN'.ENT DATE % ��,I-trom <br />�(q T{?dE � U j p <br />(PleAsy Alive 7 I4 10 date of applwation 3ubrrtittall <br />CRECK 50X TO t XPEDFiE QU£SF+378.00 f•1cL —/R r- P S!3rD IN a BU:SfMf:55 DAYS <br />r� �' 15 DC r <br />SIGNATURE OF APPLiCART 1� DATE <br />3 <br />t--0-6-ENVIRONMENTAL HEALTH DMSION FILES <br />Ue s,+ kn <br />UNDERGROUND TANK. (UST) I„EANUP SrM (LOP} O Ii4uSl>,G A13ATEIAEAtT <br />FILE ADDRESS <br />E OTHER CLEANUP SITE (NCWOP} <br />❑ FDOD FACILITY <br />SOLID <br />"Z UNDERGROUND TANK (MO OIbNCVREMOYAL) <br />��E <br />? <br />fA <br />b- LA 5 SS. <br />r i e• <br />S► m c,' GA <br />-I -1 ) <br />S . <br />TATTOCM00Y FWJRCING <br />Cl AOQUSPA, <br />U �000 <br />G MECACAL WASTE FACILITY <br />D PUBLIC WATER SYSTEMA <br />Q OTHER ^r-A3z SPl=star Asovr) <br />-1 4oi G A <br />3 <br />t--0-6-ENVIRONMENTAL HEALTH DMSION FILES <br />Ue s,+ kn <br />UNDERGROUND TANK. (UST) I„EANUP SrM (LOP} O Ii4uSl>,G A13ATEIAEAtT <br />WSpLID WASTE FACT{ YI II 0 II U I! D <br />Q WASTEVE LL55 L5 <br />E OTHER CLEANUP SITE (NCWOP} <br />❑ FDOD FACILITY <br />SOLID <br />"Z UNDERGROUND TANK (MO OIbNCVREMOYAL) <br />D DOG KENNEL <br />Q DAIRY <br />7-. mAZARDOUS wAsTE GE"TOR <br />M C] "EN RANCH <br />X PKG TREATMENT PLANT <br />0 TIERED PERht17T'0 FACIUTY <br />O MOTEUHOTEL <br />Q PUMPER TRUCYVARDICHEMTC <br />❑ LAND USE APPLICATION SITES <br />TATTOCM00Y FWJRCING <br />Cl AOQUSPA, <br />U �000 <br />G MECACAL WASTE FACILITY <br />D PUBLIC WATER SYSTEMA <br />Q OTHER ^r-A3z SPl=star Asovr) <br />1. List up to ten add sees in the space above. Select the type(s) of files from the list above by checking <br />the appropriate b x(es). At least one file type MUST be selected. Fax to f2091 454-0136 or mail to tho <br />address indicat�above. <br />2. E14D will notify" applicant if any FHD fi(e5 exist. An appointment for review will be confirmed <br />approximately fnrbusiness days th <br />but no later an ten (10) days after rr� <br />o(pt of application. The files <br />Witt ire; held for a axlmum of live business days for review. Appointments should be scheduicd <br />a"ording ly. <br />31 A file that is activ�ly being woeked on by EHD staff may not ba immediately available for review. A now <br />application may be suhmittrd when the file is—Aahte_ <br />4. Any Tie not returrIed in the same condition as released will 4e reorganized by EHD staff at the expense <br />of the applicant. Future file reviews by tate same applicant may require a $78.00 deposit prior to review. <br />S. 'TENTATIVE appointment dates must be confirmed with END staff. <br />G. Applications received after 3:00 pm will be processed the next business day. <br />