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._•_ rnv IMGNI AL PAGE 01 <br /> SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION �hltillflGMME ( iIEVI <br /> .,,4 N H 8 H103 7D4 EAST WEBER AVENUE,THIRD FLOOR OON <br /> STOCKTON CA 95202 ` - 1)y <br /> Y SERVICE <br /> I;! (209)460-7420 <br /> PUBLIC RECORDS RELEASE (APPLICATIWAN -8 AM 8: 51 <br /> ,APPLICANT f' ay- 17�)//+� L7�� ,{BUSINESS/AGENCY^'�f.� t fT� ' �..1�,lllNiy\w�r'j� �f•� <br /> ADDRESS 1-L1.23!i� V rITL'Z li\I !T\1-e ��1 L�qo�\)rl)p <br /> PHOnC L4 CI) r) 51- !�t / � FAdISIMILF�� / [ q Sl- /79a <br /> \ <br /> DATmeq . J 03(77d <br /> TENTA7IVF`APOINTMENT 2 . 5J\ <br /> , 1 <br /> (Plnns00+V Tld Te AV/Awsad ya lry—d+le el+grlAt+,bn iVemlual) . Y <br /> CHECK BOX TO EXPEDITE REQUEST-Sa9.00 FEE-REQUESTP OCEl�SSE .. ��SIHESSDAYS <br /> *SIGNATURE OF APPLICANT �'� DATE /La� d <br /> F,tt ADDRESS THIS SIDE END STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> _ 7 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER OLtANUP SITE(NON-LOPI IX FOOD FACILITY 17 SOLID WASTE VEHICLC <br /> UNDERGROUND TANK tMONITORINGIRGMOVAL) Tt bOG KENNEL 0 DAIRY <br /> 0 HAZARDOUS WASTE GENEnATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED PERMITTCD FACILITY 0 MOTELIHOTEL CIPVAgEw TRVCIVTARDICNEM YOILETS <br /> O TAYYOpro ODY PE WCWG 0 P000`SPA O LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACII.ITY O PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ton addresses In the space above. Select the types)of Poen from Via list above by checking <br /> the appropriate box(es). At least one 1119 type MUST be selected. Fax to (209)464-0170 or mill to the <br /> address indicated above. <br /> 2. EHD will notify the applicant 1f any EHD files exist. An appointment for review will be confirmed <br /> approximately live buslnass days but no later than ton(10)days after receipt Of application. The files <br /> will be hold for a R19XlmUM of five business days for review. Appolnlmen(s should be schedulad <br /> accordingly. <br /> 0. A file lhat.ls actively being worko,l On by EMD staff may not be Immediately available for review. A new <br /> applicallen may be submitted when the filo Is available. <br /> 4. Any lite not ralurned in the Sarna condition as released will be r9organizod by EHO staff at the expense <br /> of the applicant. Future rile reviews by the same applicant may require a$69.00 deposit prior to ravloW, <br /> 5. -TENTATIVE appointment dates must be conflrmod Wlth EHD Staff— <br /> G.G. Applications received after 7:00 pm will be processed the next business day. <br /> Pest-R"Fax Nole 7671 Ow 12-fZ3'a ri0p0'ia� ) <br /> CONFIRMED APPOINTMENT DATE. <br /> DATE CONta)RMC.D PH01 PII°roa <br /> PMnFa -� <br /> REVIEWED YES NO F'"igLJ -/7�(.R. hPairJ.a7" 64-of3$ <br /> z •d 26L11986i6 DSd aSS (80 co 80 Liar <br />