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l,'"�-Nv-LIAL'I1 UG:A"l F4: pi• J <br /> SAN JOAtUIN COUNTYPUBLIC HEALTH SERVICES J <br /> E>ilVIRONMENTAL HEALTH DIVISION f-,j <br /> 3114 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 93202 MAY 7 2001 <br /> (209)4693420 <br /> PUBLIC RF-CORDS RELEASE APPL(CA'nOiV Fr, <br /> PII.II I <br /> �APPLiCAHT�,LCF'I�/rzJ � IISCi.✓A) BUEINESSIAGENCY �NulR.wr+svha� hzH-raC£nIY7' fCA'lAk�'li'�C'�iii�L�> <br /> �`AnnaEsds 2tl37 oc,rsve y< )�IL4.4 & rp� foo <br /> rPlSDNE 7 S r'/3 tf �9� FACS:RBIIE <br /> '77-6- T3 e 7/6 4 <br /> TENTATIVE*APPOINTMENT OATE L4 <br /> ,$A nntr 1VFln <br /> (Plea;@ 2&*r Wig ZLww"days frail CAIA of app4paliOn 4W TU101) <br /> CKECK BOX 74 EXPEDITE REQUEST-iBT.90 FEE-REQUEST PRQCMED IN 3 BUSINESS DAYS <br /> 1CSIGNATURE OF AFFUVANT t DATE 45-filo , <br /> t FILE AODRESSHDTp,-a 'MIS SIDE Ekio STAFF USE ONLY <br /> /ar-�- F�rxLt +L..ST" &> -At. ►7RrrrfCi9 <br /> PROGRAM ELEMENTS..0 ICKJE <br /> wk4ks l5gw4 .13 9 F - <br /> CWGwzR n4 n9-fX"A 12b� 1 Enl7ra 3S•�C� rKn. <br /> 1 Sib Y uSF.rrr 3Szly F{I - <br /> (=-Z &.g*VE CAJ 1012- Y&Ug"i <br /> '12rN0 ''R3 too/ 15 xgg6 rY1`_' ..Z y,.5D -"u - <br /> ✓HIeN 541'7 X70 vose.,.rs ,y✓ _ 3s..�'1 hn.:. <br /> A co crzn i7) Yast i cares)✓3S.a8 rw �� )�- x _ <br /> ICAL-MWyj 4DOX CDRTRrE o3S• d,-] LD .._, <br /> SDRPe<s4 SV6eFR cd [ Lc-r7z 29•sz <br /> VNrT&7 AI +macs 300 W »wzE— C-0-9�h 1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> kx�UNDERGROUND TANK(UST)CLEANVP SITE Ti-CP) O HDUSING ASAWAfEKT O SOLID WASTE FACILITY <br /> O 3)THER CLEANUP SITE tNON-L.OP) C FOOD FACaJTY O 30f.ID WAST@ Vt=LE <br /> 6 ;UNPcAr.AOIrND TANK(MON(7ORINaMENOVAL) ❑ DOG KENNEL 0 DAIRY <br /> 0 .FIAZARDOUS WASTE GENERATOR O CHICKEN RANCH O PKG TREATMWr PLANT <br /> o TIERED PERMITTED FACIL(TY M A/OTELIHOTEL d PUIVERTRUCIVYAR=NEMTOa.ETS <br /> M TATTMOODY PEIROWf5 i Q POOLISPA Q OUSE APPLICATIONshI <br /> MEDICAL WASTE FACILITY C PuSuC WATER SYSTEM KOTHER VLPASE SPECIFY ABOVE) <br /> I. LIS,up to tvn addresses 1n�he space above. $elect the type(s)of files from the list above by Checking <br /> the appropriate Dox(es). Al least Dne file type MUST be selected. Fez to(22%484-0138 of m i t the <br /> itilsims indica(gd above. <br /> 2. r.40 will notify the applicant if any EMD flea exist. An appointment for review Will be confirmed <br /> approximately fire business days but no later than ten(10)days after receipt of application. The files <br /> will be bald for a ma)dmurI five business days for review. Appointments should be scheduled <br /> accordingly. . <br /> 3- A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be subrnitW when We file is available. <br /> 4. Any file not returned In the lams condltfon as released will tm reorganized by EHD staff at the expense <br /> Of the applicant. Future fill reviews by the same applicant may require a$47AO deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received anvr;q:00 pm will be processed the next business day_ <br /> i <br /> CONFAMF-D APPOINTMENT DATE Time <br /> pAtTE CONFIRMED PHONE FAX INITIALS <br /> i - <br /> REVll-=VtGED YES NO REVIEW DATE <br /> "" ., --- TDTrL P.01 <br />