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_ SAN JOAQUIN COUNTYPUE31-IC !-HEALTH SERVICES <br /> • ENVIRONMENTAL. HEALTH QIVIS(ON <br /> c 304 LAST WicHER AVENUE, ri-iiR,D FLOOR L� <br /> x STOCKTON CA 95.202 <br /> (::09)46S-3420 <br /> PUBLIC; RECORDS RELEASE APPLICATION <br /> APPL!CA1NT(4,17-14 <br /> �J_Y !dLiSiNESS:RGt=NGY -- -YV.�••.^ <br /> j1j4.0NE FAC5!MILE <br /> TF_NTA-fi V 't FF0!"i7h1EN i U�T= a�r Q _ TINMZ <br /> (Plans$vivo_7 IGS 10 t us5 . si Ua•r a`rom oat•,of Apvn1"�ca - <br /> �., lian auUmittaij <br /> 331 <br /> CHcClS SOX'!'J uYFpIT, . S :i IN 3 BUSINESS 4n`"SRZQj 57-s& <br /> SIGNAT URE OF Ai Ps-ICANT -- f ,_.42 OAr1= <br /> 25?•��y FILE ADGRc59 THIS SIDE F)AD STAFF USE ONLY <br /> T F PROGRAM ELEMLNTS SEARCH <br /> T2T .. <br /> a 1 J <br /> - <br /> /aa 9 - <br /> . <br /> ENVl RONMENTAL HEALTH-! I)IV1510N FILES <br /> r.u.xuKosl.D r:{;uST}GL �r;�J <br /> 3!1 c;I Qv) = HCV;S;jjG ABAT EME:iT u SOLID WAsl E PAciuTy <br /> OTriER CLE:A1UP SITE'NOII-t,Jp, FLXt D FACILITY ❑ SOLID WASTE VEMMI-F <br /> Ji:Oa;RG.ROUND TANS%IhlQNfI-ORINGiRE-1Q:A_}j Z; DOG Kf;KNLL G OAIAY <br /> ?fAZARDOUS WASTE 0-cliERATOR Ctr1CKEN RN:Cii "3 PKG I REATMEN'PLANT <br /> TIERED PEWAI i:EL)pAcIL1T i MOTEL MOTEL a PUMPER TRUCK/YARDICiiEM Y011"LTS <br /> C TAT-700130DY PEIRC.'_NG :J P00L;5PA LAND USEAPPLJCATION SITE-s <br /> MEOiCAL WASTE=FAC;Li1'y 0 PUBLIC WATFR SYSTF-14 ❑ OT`trR(PLEASE 3PEelr)'AE24VE) <br /> 1. L1St up to *,tin addresses in the space above. Sclect the types) of tiles from the list above by chooki:ng <br /> the apprapr;ate box(es). At least one five typo r4UST be selected. Fax to f209)4614-Q1 8 r it to the <br /> address indicated above. <br /> 2• EHD will -sooty the applicant if any EMD tiles exist An zpppintnlent for review will be confirmed <br /> approximately five business clays best no fater than ten (10) days after receipt of application. The files <br /> tivili be helcl for a m.L%imurr] of Foe business days for review. Appointments should be schadul9d <br /> accardingly. <br /> 3. A file that is actively.1-'eing worked on by EHL] Staff may nOt tje 471mcciiatelyF available for review, A new <br /> application may be submitted whan the file is available. <br /> A• Any fila riot returned in the same condiuQn as released will be reorganized by EHD staff at the expense <br /> of the apps;cant. Future file: revie:is by the same appticarlt may requii,e a Sgt-e0 deposit prior to review- <br /> 5. "TENTATIVE appoirntrnert dates must ba confirmed with EHD stztt. <br /> 6- AppliCations received after 3:00 p n will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATL ' <br /> `riMr= j <br /> l <br /> DATE CONFIRMED --- PHUN;_�- FAX ilyrrAL,S <br /> REVIEWED vis N0 REVIEW DATE <br /> 6H 06 Y: OOm}/gyp <br /> T.']:r4L P.01 <br />