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lil.9 w I:at,Z'r�� e t W l Cul:f J:rlkJ( <br /> SAN JOAQUIN COUNTYPUTALiC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIN FLOOR <br /> STOCrCTON CA 55202 <br /> (239)4168.3420 / <br /> PUBLIC RECORDS RELEASE APPLICATION (� <br /> PHONES <br /> TE-N TATiVE'AppoTy-rm5tr'DA1E 71mr- <br /> (Plaza«flier 7 to 10 bt ainnao days tr=date a!application 3u5rnfEuf) <br /> �.I CY.E-CK EOX TO EXPEINTE RE"EST- a.a ..E- UF.ST PROCE34CD IN Ess 0AY5 <br /> SIGNATURE OF APPLICANT' DATE <br /> �- pit•floaRess T'riM CEDE 9�+0 STAFF USE ONLY <br /> y PRQGRAN ELE'MF-NTS SEARCH <br /> 2 <br /> l7 SO+is <br /> a z <br /> ------------- <br /> t <br /> / ENVIRONMiEN CAL HEALTH 0)YlS;0N FILES <br /> Si+ uti��UYliGROI)ftDL3tdi(SU�3 CLLArtUP 3lTE QOF) C3 HOU31`ri ABAT& :ENT -_ M $QUIP V0.5- =_FAOE� <br /> IY <br /> C,6TtiER CLEANUP 5,7--allos--Qp) ❑ FOOD FACWTY W SOUP WASTEvEs+iCL4 <br /> �C✓�uuo3.RgKoOJmD TAWC jM0NTrQRtN;Ml4%1OvAL1 a DOG KENNEL O 12AMY <br /> HAZARDOUS WASTA GEXERATOR Cl CWKEN BANCO O rKO TRPAT04Eri7FLANT <br /> C TIERED PERMIT7 FACILITY Ci M0Tr-U 1<rr1 Q PLtM7 M MUC1VYARD1GHEM"rP4-L f <br /> C TATTOCN tODY PtiRt11413 O P00"PA 0 LAND VSE APPLICATION SITES <br /> 14tMCAL YTA57E FAC3:ITY d pV"TC'NAT6R SYSTE6t 0 QTHF-R IPLEA£E 3PP.ClFY A9o%'F; <br /> 1, _iot up to ten addrea343 in the space above. Select the type(*)of files from the list agave by checking <br /> the appropriate boX(t6). N.l¢sst one f le typ9 MUST be selected. Fax io 1209L{( g 138 or ai a the <br /> address ind'catr_t,abov'_ <br /> Z, EAD will notify the applicant it any EHO files exist. An appointment for review will Oe COrftrQd <br /> approArnately fixe bt sinass day*but no Iater than ten(10) days after rectipt of application. The;,les <br /> will be held for a maximum of five business days for review. Appointments Should be Scheduled <br /> accordingly. <br /> 3. A file that Is activciy being woWed gn by cHiO 6taff may not be;mmediatcly aria able for review. A new <br /> app.;cati:on may-1 c submitted when the file is available. <br /> A. A.:y fi.a not returned in Uie*.erne condition as released will be reorganized by EMD StQtf at the e%pianse <br /> of the applicant. Future flet:revi*m by tttn Gama applicant may require a$76.00 sfeposit prior to review. <br /> 5. *TENTA7fVE appointment dates must be confirmed with EHD staff. <br /> e. Applications recolved after 0:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT CArE _ TItrQE -- <br /> DATE CONFIRMED PHONE FAX INt?iALs <br /> -REVIEWED YES NO REVIEW OATS <br /> a+ r,• Ga"06 TOTAL P.01 <br /> Lj WdBT :20 0002 2�- 'FEW 2886 BIEB 6W : '01 dNOHd S tgh j'e+-4d 0-IaL puno.AJ W0t{_ <br />