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` DEC-12-2001 16:40 FROr9:T1,JINING LABS IFIL. 55926a7126 Y0:831 -_v_�3 1182 P.001/001 <br /> !rJ 10-17-2k700 iO:2BAM TO fr 15592687126 P.012 . <br /> f �rik nL�LfYkU � k�41 LLIti P1Ytl.YL'k .J.� <br /> (J SAN JOA UIN COUNTYPUBLIC HEALTH SERVICES 7o 4 <br /> l� V j} ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRO FLQQR <br /> STOCKTON CA 95202 <br /> (209)468-d20 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> . r <br /> APPLICANT._} s �LfP1�Clt1YS_ _ BUSINESSAOt or n ry <br /> AQR 5S c'SoZ 7 fir c5vta cS�C.cTI <br /> PHOS c Cas i'a�-1 _ .FACSIfi1ri.E aJ4,S' ^ '7124 <br /> TENYATIVE`APPOINTMENT DATE ��G t --- TIME c? :Ca0,,q.�►„ ;� <br /> (Phase give 7 too 90 business days from date of apcpIItion eLbmittal) <br /> �N 1 rs -? T <br /> CHECK BOX TO EXPEDITE REQUEST•-$87.00 FEE m-REQUE5T PROCIESSEO IN 7 BUSINESS DAYS <br /> `l <br /> SIGNATURE OF APPLICANT II . ��/te-�� _ DATE ✓�-��'~Q� <br /> FILE ADDRESS TMf$SIDE EMB SIC FF USE ONLY <br /> PROGRAM EtZMENTS 3IE'ARCH <br /> C, GrSt _ <br /> s : ) <br /> k t� is r" Sa rw� <br /> '•NrP'aCor+ rCa� c.:l tTu. �l/Fapf(:.s <br /> 5 <br /> jS3 4r1c-# L4�ST 3�4 5S <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SrrE(LOP) Q HOUSING ARATEMEHT Q SOLID WASTE FA0LITT <br /> OTHER CL.FANuP SITE(NON•LOP) ❑ FWID FACILITY Q SOLID WASTE VEMLE <br /> UNDERGROUND TANK(MONMORiNGlREMOVAL) Q DOG KENNEL E] OA1RY <br /> HAZARDOUS WASTE GF-mt.ATOR Q CHICKEN RANCH ❑ PKG TRPATMENY PLANT <br /> M TIERED PERAd1TTEDr-ACILITY ❑ MOTELIHOTI!L Cl PUMPER TRUGKryARDAGHEMTOnEfS <br /> C TATrmSODY PFJRC1uG a POOIISPA --- O LAND USE APPUCATKSI'1 snv-S <br /> t MEDIGAL WASTE FACILITY ❑ PUDtJC WATLk SYSTEM __0 OTHER(PLEASE SPSCIPYABOM � <br /> 7. List up to ten oddretses in the space above. Select the types} of files from the oat above by ehecicing <br /> the appropriate box(es). At least one file type MUST be selectod. Fax to( J 464,4139 or mail to thrf <br /> address indieat a a <br /> 2. F_HD will notify the applicant if any EHD files eki'st. An appointrrlentfor reVieW Will be confirmed <br /> approximately flue,tiUsinPss days but no later than ten(10) clays after receipt of appliCatlon- The riles <br /> will b*held for a maximum of five business days for roview. Appointmenta should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHL!Staff May not he inunediatety avallabte for reView. A new <br /> application mny be submitted when the GIS is aVallable. <br /> 4- Any file not returned in the same condition as teleasad will be reorganized by EHD staff at the"Pence <br /> 4f the apAlicaat. Future Mr reviews by the same applicant may require a$87.00 deposit prior to review. <br /> 5. 'TEWrATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed thft next businessd ay. <br /> f <br /> CONFIRMED APPOINTMENT DATE TIME <br /> E ATF- CONFIRMED PHONE PAX IINITLALS <br /> VIEWED YES NO Rt:YIEW DATE ^ <br /> i <br /> TOTAL P.02 <br /> t <br />