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V,v �u4 13:11 FAX 209 9480621 <br /> 10 002/002. <br /> RDIECMA 1 �jSAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> f ENVIRONMENTAL WEALTH DIVISION <br /> FEB a 3 20041 304 EAST WEBER AVENUE.TkjlRD FLOOR <br /> STOCKTON CA 95202 <br /> ENVIRONMENT,.NEA'1 H (209)468-3420 i <br /> PUBLIC RECORDS RELEASE APPLICATLON <br /> APPLICANT J 01 BUSINES51AGENCY <br /> ADDRESS k '1 - <br /> - I <br /> PHONE `L 13 Lk b <br /> p �; FACSIMILE q -4.1 <br /> r - <br /> T ENTATIVE`APPOINTMEW DATE Z " In Ll <br /> f <br /> (Pleasa give T to 10 business days tram date of appile0on submtttal) • <br /> CHECK BOX TQ-EXPEDCTE REQUM-$87.00 -REQU T OC>^SSED IN 3 L99SINF_55 GAYS <br /> I <br /> I <br /> i <br /> SIGNATURE OF APPLICANT DATE Z '73 <br /> `l FILE ADOIiE55 THIS SIDE FHA STAFF USE ONLY <br /> I! PROGRAM ELEMENTS SEARCH <br /> 1 ' �E t7JDT1 C-A <br /> i' t� 4► �� �� �' tet. � -�.+� �� <br /> I - <br /> I1 <br /> I 'h <br /> II 4 <br /> 'p <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> QI UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 10 SOLID WASTE FACILITY <br /> 9k olmER CLEANuP!srrE(No R4op) C7 FOOD FACILITY Q SOEaD WASTEVEMLCLE <br /> M UNDERGROUND TANK(INONrrORIKWR.EMOVAL) O DDG KENNEL V DAIRY <br /> IP HAZARDOUS WAtM GENERATOR d CHICKEN RANCH J' PKG TREATMENT PLANT <br /> L7 'nm=PePtAri-ma FAc4xrY 0 MCMELIHOTEL a PUMPER TRUCKNYARDICHEIt TOILSTS <br /> 0 TATTOO(BODY PEIRCING E3-POOLiSPA -- ;0*LAND USE APPLICATION snEs <br /> 0 MEDICAL WASTE�ACLLITY R PUBLIC WATER SiYSMM 0 OTHER(PLEASE SFEC.17ABOVq ; <br /> I List up to ten addresses In the space above. Select the type(u)of files from the list abode by checking <br /> the appropriate box(es). At least one file type MUST be Selected. Fox to 42091464-038 or mall to the � <br /> addressilndleated above.. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed. <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> Will be field for a ITLaxlmam of five business days for review. Appointments should be scheduled <br /> accordi> ly. <br /> 3_ A file thatIs actively being worked on by EHD staff may not be Immediately available for review. A new <br /> applica0en may be submitted when the file Is available. <br /> 4. Any fllellnot returned In the same condition as released will be reorganlzed,by EHD staff:1lat the expense <br /> of the applicant, Future file reviews by thb same applicant may require a$87.00 deposit prior to reVIM. <br /> 5. 'TENTAiTIVE appointment dates must be confirmed with EHD staff. i <br /> 0. Applications received after 3:00 pm will be processed the next business day. <br /> f :I <br /> 1 G <br /> CONFIRMED i POINTMENT DATE TIfAE <br /> OATS CONFIRMED PHONE FAX INITIALS } <br /> r k <br /> R1r"VIEYIIT=D �' YES Ian t7R=lm-W ne7'r- <br /> Itltlt <br /> i <br />