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20,Aoud luiol <br /> TO U5U1800 P.01 <br /> SAN J04UIN COUNTYPUBLIC HEALTH SERVICES <br /> E��'VIRONMENTAL HEALTH DIVISION <br /> AUGI 3 2001 3 'EAST WEBER AVENUE,THIRD FLOoR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC'RECORDS RELEASE APPUCATION <br /> -AROUCANTBUSINESSIAGENCY <br /> A:)DRESS <br /> FAC51WLe <br /> TENTATIVE*APPOINTMENT 04TE <br /> (Pkasb Si-Je 710 10 busin***Cars from date a(apprmation submittal) <br /> CHECK BOX TO FEXPEOITF:'REQOEST-S0740 FrEE-RJECJJCSTPROCESS (4130SINESS DAYS <br /> -SIGNATURE OF APPLICANT <br /> DATE -IA71iA�� <br /> FILtz A00p6ss, T3=SWE'EHID STAFF US:If-0-N-L-7-- <br /> PROGRAM ELEMENTS SEARCH <br /> "SjR [ � 2 #k <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UN,DERGROUND TANK(U51)CLEANUP SITE(LOP) 0 HCUSINGABATF-MEHT C1 SOUD WASTE.FAVILITY <br /> OTHER C,-LEMUF SITE(140H4.0,F) j , D FOOL)FAcuiry 0 SOLID WASTE VEHICLE <br /> ONDERGROUND TANK(MONITORINGREMbYAL) D DOG KENNEL 0 "Fty <br /> Q RAZAADOtJS WACTJ:GF-Nr=RAT0R Q CHZCMH RANCH 0 PKG TREATMENT PLANT' <br /> C, TIFAEV:PERIAITTED FACILITY 0 NOTELJHGTP-L C3 PUMPER TRWr4YARVfC4i5M TOILETS <br /> to TATTOO=r)y PEIRCJNG 0 P6OLJ3FA - - * 0 LAND USSAPPLICA-17IONSITES <br /> M PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOV9) <br /> List up to ten,addresses in the space above. Select We type(s)*f files froM the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected- Fax tQo <br /> (209)464 Q138 or Tri to the <br /> aOdross indicated above. <br /> 2. EHD will notify the 2pplican€.it any RHO files wd*t An appOintMOnt for review Will be confirmed <br /> -approximately five businessi days but no later than ten(10)day,5 after receipt of app(ication. The files <br /> will be held fur a maximum of five business days for review. Appointments should be scheduled <br /> accorclingly. <br /> 3. -A file that 1:5 Actively being worked on by JEHO staff may not be immediately available f6r review. A new <br /> Application may be submifte d when the file is available. <br /> 4. Any file not MtUrned in th*saMa condition as released will be reorgarilzod by EHD staff at the expense <br /> of the applicant Future fller:Qviews by the same applicant Iuay require a$87.00 deposit prior to I-evilDW, <br /> 5. "TENTATIVE appointment ddtos must be confirmed with END staff. <br /> 6. App("Icafflons received after 3:00 PM will be l3roceeeod the next business day.. <br /> CONFIRMED APPOINTMENT DATE, TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> RRJEW$p YES .NO REVIEW DATE <br /> EM <br /> TOTAL P.01 <br /> M1 0(`OT OCI COC ),miKinu ILIJ TC-)04 7(-A- CT rifles <br />