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L:l1B Luo tiUMW:fc <br /> l�J UJ i=--•:� t% �—SAN JOAQUIN COUNTYPuSUC HEALTH SERV10Es <br /> ENVIRONMENTAL HEALTH DIVISION <br /> FEB 2 0 Z001 304 EAST WEBER AVENUE.THIRD FLOOR <br /> STOCKTON CA 5202 <br /> HVl F (209)43428 �Wu��E rR <br /> TIIMTc, VIUS <br /> '- <br /> PUBLIC RECORDS RELEASE APPLICA't` ON <br /> KPPt,EC:ANT�.�V���DC- S 1 /� <br /> 81151MESSIAGENCY P7 S GAV i� 11N!LA ]CW jyLG <br /> ADDRESS WZ cls EiIY�i .• l�fl u G tf� ";*'—".—y PRONE. (qLn$q9—b6 00 _ FACS11MLE <br /> TENTATIVE'ApppoiNTMEKT DATE_ It.l•�sc{" . �•�- - ]}`� } <br /> (Plaaae give 7 to 10 bu-31neiddap from date of ltaa,Tion submittal <br /> ' <br /> i <br /> © CREGK BC?X TO EXFC.DITE RrtQUEST-'$87.00 FEE-RraQUEST PRCK:ESSED tk 3 BUSINgss DAYS i <br /> SIONA7UR1; OF APPLICANT �`��' OA-t`E <br /> i <br /> FILE ADDRESS fFR s S1DE EHp STAFF USE ONLY <br /> PROGRAM ZrS SeARCH <br /> tigsa5c> me <br /> 45 �. <br /> t <br /> l <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDEitGROUND TANK(UST)CLEANUP 511E(LOP) E] HOUSING ABATEMENT SOLID FACILITY <br /> A OTHER CLEANUP srm(NON-Lot?) 0 FOOD FACLrTY Cl SOUR(I►tASTE VJrI j1Ct E <br /> ;9 UNDERGROUND TANK(M0NlTQRINGIREMQVAL) C3 DOG MENNIL C1,0AutY <br /> SE HAZAXDQVS WASTE GENERATOR 13 CHIC K914 RANCH O PKG TMBNT PST <br /> 0 'RERED PERMITTED FACILITY O M0TELfHOT$L G Z:plT'�V(PLWESPECWA13q%(E) <br /> TRUCWAR AlO*IF.NiTOtL1:� <br /> ❑ TATTCQ/t34DY PMRC114C 0 roolispA a LANDEAPPLICATION snIES <br /> 0 MEU1CAt.WASTEFAC111TY D PUBLIC WATER SYSTEM fJ C}3H <br /> 1. List 14P to ten AdClresses in the space above. Select the typo(s)of files front the list abgve by checking <br /> the appropriate box(es). At feast one file type MUST be selected. Fax-to(Zi)814.4 j Qjn or mail to the <br /> ad¢resn indipated above. <br /> 2. EHD will notify the applicaint if any EMP files 063t. An appointment for review will be confirfned <br /> approximately five business days but no later than ten(10)days after receipt of application.-The files <br /> will be held for a maximum of five business days for review. Appointftent3i should be schatjUled <br /> accordingly. <br /> 3. A file that is actively being worked an by END staff may not be immediately available for review. A new <br /> application may be submitter{when the file is avaiiabla. <br /> 4. <br /> Any fill not returned in the Same condition as released Wlll be reorganized by EHD staff at the expense <br /> of the applicant. Futs re file reviews by the same applicant•may require a$47.00 deposit Prior to review. <br /> 5. 'TENTATIVE appointrn ent dabas i=St be Confirmed with EHD,staff. 1 <br /> 6. Applications received after 3.00 pm Will be processed the next businesp daw. <br /> l <br /> CONFIRMED AIPPOINTIVIENT DATE TIME <br /> u � <br /> DATE CONFIRMED PHONE FAX Ili ITIALS <br /> REVIEWED, YES NO REVIEW DATE I <br /> TQ'd L09TE68STl�T Ol W0ku Wdos:Za T00i~-ST-20 <br />