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O'�Jtid �d1f3J a:.k TD18C78 P.01 <br /> IOb--L'—etA71 tla=�1Hf'1 rraJM <br /> SAN JOAN IUJN COUNTYPUBLIC HEALTH SERVICES ' <br /> VIRONMENTAL HEALTH MISION <br /> CJ <br /> AG 13 z 0 0 j 3�4 EAST WEBER AVENUE,THIRD FLOQR <br /> STOCKTOM CA 95202 <br /> L (20$)463. 420 <br /> PUBLIC;RECORDS RELEASE APPLICATION <br /> �APOLMANT. nILC Q� __ SUSINESSIAG,ENCY <br /> AaDRESS ICE « �� vic �R3�L9 , far sR N� GPS <br /> P.iOr7E e9 <br /> TENTATIVE*APPOINTMENT 04TE _ YIMIE . <br /> (Plirssa ShJa 7-to 10 buain*SB days from data of uppr;=tfon Sulzm4it d1 <br /> CtieCK g07G'CS3 EXFEpiT>=12EpiJ�ST�5$7:00 FES--REQId€SY FRUC&SS�4ii�[tUSINfT-CSS DAYS <br /> -SrC'xl�[ATURE OF APPLICANT DATE <br /> F7L C AG4fiES5' YH=SM <br /> lwiii3 STAFF I3580S�1L <br /> PROGRAM ELEMEWTS SEaRCI; <br /> 'tel 3 <br /> VEA-37CW"'W� 't <br /> ENV(RONMENTALHFALTH DIVISION FILES <br /> UlrDeRGROURD TANK(US7)CLEANUP SITE(LOP) 0 HCUSING AaATFMEUT Cl SOUb WASYE FACiLiTT <br /> O HER GLZMUP Sit'E JHO"OP) D FOOL)FACU rrY ►M SOLID WASTE VEHICLE <br /> ONDERGROUNDTANK(MQN1T0MGI EMbVAL) 11 DOG KENNEL RY <br /> p PKG" LREI1TIIdI=f1TALA)1T <br /> GI O FAC] 0 MOTEEJK0T9L I7 FUMPER TRUCQYARV(r_' F1Yl TOILETS <br /> T 1;RED�PF.1ifAITTE JS'!'Y <br /> Q TATTOOJBODY Pr:lftCJNG C1 PdOL131-A - ' ' CI LAPID USE APPLMATiON SITES <br /> kEMCAALWASTE Fg41LiTY D PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPMry ABOYT;) <br /> 'l- List up to ton addresses in the space above. Select ttia type(s)of filets from the list above by Checking <br /> the appropriate box(es). At,least one file type MUST be selected- Fax(2(209)d6d-Q,13_Bar nl7il to,hp <br /> .0dross indicated above. <br /> 2. EHD will notify the applicant i€any Flip files exist. An appointment for review will be confirmed <br /> -approximately five busjnesri days but,no later than ten (10)days aftar receipt of app(ication. The files <br /> will be held for a maximum of five buriness days for review. Appointments should tae scheduled <br /> accordingly. <br />{ 3. A file that Is Actively being worked on by JEW staff may not'be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not rteturned in the sage condition as released will be reorgariezed by EHD staff at the.expense <br /> of the applioant. Future file ieViows by tho same applicant may require a$87.0D d2pOsit prior to revives. <br /> 5. •T4NTAnVE appointment dates must be Confirmed with am'0 staff, <br /> 6. Applications received after 3.00 prn will be processed the 466 business clay.. <br /> CONFIRMED APPOINTMRNTDATE, <br /> TIME <br /> PATE CONFIRMED �- PHONE FAX INITiAI S• <br /> RR IYlEwa'p YES no REVIEW DATE ' <br /> Flt 06�t o Pfi0 -- <br /> TaTPL P.01 <br /> _.rra..r_n _i_ �crr� c,►.trn�lc. nl QCRT Qc.J. r-Rr- _ - -411 N1TNfll.]_:'l-E ic;:110 10. 2T OnH <br />