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Sent By: Tracy Orchard; 835 2996; Aug-17-n5 1 :55PM; Page 2/2 <br /> -...•._.....�-_ <br /> 433 _•a Trac <br /> ., ...a. .. <br /> 2b94B83EHD PAGE 1 1 :34AM; � 02 <br /> 08/17/2095 11.35 209468�a33 5AN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 3o4 EAST WEBER AVENUE,THIRD FLOOR <br /> sTOCKTON CA 95202 <br /> (208)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> � go L BUSINE391AGENCY„ <br /> APPLICANT �_,1 �. <br /> ADDsS zs r z vi 9 <br /> m:rsem ' <br /> PMONE � Q � :,972 _ PACS IMILE <br /> TENTATIVE`APPOINTMENT PATO TIME <br /> .�� (please grybr 7 business da"from date of eppllCation submittal) <br /> LJ CHgCK SOX TO-EXPEDCTE REQUEST 489.1)0 E auks OCESSED IN 3 BUSINESS DAYS � r �� <br /> SIGNATURE OF APPLICANT DATE d <br /> THIS SIDE E ...S use ONL <br /> FILE ADDRESS PROORAIII 4LEMENTS SEARCH <br /> 35too S. 4, 33 VerwNa.lfS <br /> ENVIRONMENTAL HEALTH DIV1910N FILES <br /> C3 UNGERGftOUTMD TANK(UST)CLEANUP SITE(LOP) VEHICLE <br /> HOUSING ABATEMENT a SOLID WASTE FACILITY <br /> d (NON-LOP)GU ANUP SITE(NONP) 13FOOD FACILITY ❑ SOLIDWASTE <br /> VEHICLE <br /> C3 UNDeReft"D TANK(MONITORINGIREm(NAL) ❑ DOG KENNEL d DAIRY <br /> O "AzMDOUSWASTE GENERATOR 0 CHICKEN RANCH D PKG TREATMfiNT PLANT <br /> Cl TIEPED PERMITTED FACILRY 0 MOTELIHOTEL Li PUMPER TRUCWYARD/CHF-m TOILETS <br /> 0 TATTQO/60DY PEIRCING 0 pOOLlSPA ❑ LAND VSE APPLICATION SITES <br /> 17 MEDICAL WAS'T'E FACILITY U OTHER(PLZ--ASE SPECIFY) <br /> 1- List up to ten addresses in the space above. Select the type(s)of files from the list aboi a by checking <br /> the appropriate box(es). At least one file type MUST be selected_ Fax 208 46 1 r m it o the <br /> ad dlcalt hove. <br /> 2. j=hD will nottfy the applicant if any VHD files exist. An appointment for review will be firmed <br /> approximately five business days but no later than ten(16)days after recdipt of appllca on. The files <br /> will be held for a maximum of five business days for review. Appointments should be s eduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO staff may not be immadiatMy available for review. A new <br /> application may be submitted when the file Is available. <br /> 4. Qmry file net returned in the earns condition as released will be reorganised by EHD staff t the expense <br /> of the applicant. Future file reviews by the same applicant may require a 689.00 deposit or to review. <br /> 5. 'TENTAT'IVE appointment dates must be confirmed with EHD staff. <br /> s. Applications received after 3:00 pm will be processed the next business[lay. <br /> CONFIRMED"APPOINTMENT DATE T[M� <br /> DATE CONFIRMEDPHONE FAX'' INITIALS <br /> IEIMED �lES NO REVIEW DATE <br /> REV <br /> Y2it2YQ1 <br />