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04-16-2001 08,51AMam <br />TnAft 1925941 2 P.01 <br />v:.itt KtC6VrG CHU LUT,NUMukx <br />SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />-T" <br />- ENVIRONMENTAL HEALTH DPASiON <br />L I 304 EAST WEBER AVENUE, THIRD FLOOR <br />APR 1 7 ) 0 01 aTOCKTON CA 96702 / <br />(209) 46$-3430 <br />t, -N_i H PiiBLIC RECORDS RELEASE APPLICATION <br />Ft:APpii.'CAN'r Ski Tia c06UT91,127 suswes�rAt3EKCY ��tl CON <br />ADDRESS W.G. S .ever #3 L Va S Lei 7-C 2 00-5 ' <br />PHONE---�•- 4-2" FACSIMILE9 Z S - / a- 3 a• 2r <br />TENTATIVE" APPOWMENTDAT$ �_�._,_._ TIME �,� 1? 4 <br />(Pk*" give 7 tb 10 busku as days bvm dat4 of application autunittal) <br />CHICK BOX TO ' xnDITE REQUEST - $V.00 -FEE - REQUEST PRC"S$ED IN 3 BUSINESS DAYS <br />SIGNATUREOFAPP�r r ,-rC.ICAi�IT �r'''y', r ..�,e--lr�-- DATE <br />230 g 1600,/41; <br />WIUUU'(L <br />MERQROUND TANK (UST) OXANUP SITE (LOP) <br />M 14OUSING� ASA T <br />� OLID WASTE PACILJTY <br />ATKR CLEANUP SITE (NON -LOP) <br />® FOOD FACT rry <br />v' a0LIb WAS7$ YdiICCE Ar <br />f40ERGROUHD TANK (AiONITORi"REMOVAL) <br />p DOG KkNiVEL <br />� aA1FdY <br />DOUG WASTE GeNERATOR <br />0 C3i1Ci�N RANCH <br />U PKG TREATMENT PLANT <br />TIERED PBRUMTED FACILrTY <br />0 MOTELMOTEL <br />Q PUMPERTRUCWYAiiLN HEPATOILETS <br />17 TATTOW900Y PEIRCING <br />a POOLf3PA <br />O LAND USE APPLICATION SITES <br />0 Li WCAL WASTE FACILITY <br />a PURLIC WATER SYSTEM <br />13 OTHER (PLEASE SPECIFY ABOVE) <br />NJ <br />�WENMWVM <br />�. � L. � ���I �Rt!'� ������ <br />rTitliSii <br />wLY�i <br />t�7ye►[�li"�i <br />j% <br />Ajo <br />z <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />WIUUU'(L <br />MERQROUND TANK (UST) OXANUP SITE (LOP) <br />M 14OUSING� ASA T <br />� OLID WASTE PACILJTY <br />ATKR CLEANUP SITE (NON -LOP) <br />® FOOD FACT rry <br />v' a0LIb WAS7$ YdiICCE Ar <br />f40ERGROUHD TANK (AiONITORi"REMOVAL) <br />p DOG KkNiVEL <br />� aA1FdY <br />DOUG WASTE GeNERATOR <br />0 C3i1Ci�N RANCH <br />U PKG TREATMENT PLANT <br />TIERED PBRUMTED FACILrTY <br />0 MOTELMOTEL <br />Q PUMPERTRUCWYAiiLN HEPATOILETS <br />17 TATTOW900Y PEIRCING <br />a POOLf3PA <br />O LAND USE APPLICATION SITES <br />0 Li WCAL WASTE FACILITY <br />a PURLIC WATER SYSTEM <br />13 OTHER (PLEASE SPECIFY ABOVE) <br />1. List up to ten addresses -ire the space above. Select the type(s) of files from the fist above by checking <br />the appropriate box(as). At least one file type MUST be selected. Fax to (208) 464-013112r mala to the <br />address indicated Itaye. <br />2. EHD will notify the appllcant If any EMI? files exist. An appointment for revlew will bar confirmed <br />approximately five business days but no later than ten (10) days after receipt of appilcation. The files <br />will be held for a maximum of five busines$ days for review. Appointments should be scheduled <br />accordingly. <br />3. A file that is actively being worked on by END staff may not be Immediately available for review. A now <br />application may be submitted when the file is evellabio. <br />4. Any file not retumed in the same condition as reWased will be reorganized by END staff at the expense <br />of the applicant. Future fila reviews by the sanw applicant may require a $07.00 deposit prior to ravlew. <br />S. "TENTATIVE appointment dates must be confirmed with EHO staff. <br />6. Applic4tiorI3 recelv4d after 3:150 pm w18 be processed an next business day. <br />CO a APpoiNvAEKT r <br />ATE <br />TIME <br />DATE CONFIRMED PHONE FAX INITIALS <br />Q <br />