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.`>AJ4 ""AIUUIN t:UUN 1 Y VUt3Llk: HtAL I'H ­'VIGES' <br /> tNVIRONMENTAL HEALTH DIVISI <br /> r 344 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 C PC <br /> G v (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPUCATION f <br /> APPLICANT i a ue <br /> f BU1SINaSrA 0�fjcy tom „ jV -� <br /> ILL- <br /> 1-HONt: ,i <br /> VACSINIILE � S <br /> TENTATIVE4 A,PaomrmENTI)ATL Z g7p I} TIME r 2323 <br /> ,-1 <br /> {Please A "a 7 t4 10 busint days cram dale of aPPI]CONan submittul) C r` � <br /> r-l'rECK BOX TO EXPEDITE REQUEST-$74.00 FE:E_REGUE5TPROCESSEI] c:::,i1J 3 BUSINESS DAYS <br /> Grp rD- <br /> 1 SIGNATURE OFAPPUCANT �{ DATE <br /> 1 <br /> FILE ADDRESS j THIS SIDE E1�A STAFF USE ONLY <br /> a . <br /> i1 1 ROGRAM E P MENTS SEARCH <br /> S � <br /> � f,� ow wi F 2�� ; <br /> • L��f _ Cr 2-7 <br /> .72.'L -2:2Lf 222 0imo 7. 4,r 14 Ar Waif <br /> r <br /> �1 <br /> 1 L <br /> 9 I� <br /> 1 <br /> ENVIRONMENTAL HEALTH DIMION FiL S <br /> 1��/ <br /> UlDf:ItGROLMD TANTS(UST)CL EA14U8 SffE(Lop) 4 HOUSING ABATEMENT 11 17 SQUO WASTE FACtm od 7t <br /> OTHER CLEANUP SI'Z'E(NaF!-I,.OP) 0 FOM FACII.,rrf I� L'! SQL0 WASTE VEt1iCu <br /> Cl UNDERGROLIUD TANK 4MONjyoRiNGJfMMoVAL) C1 OOG KENNEL. C] TJAIRY <br /> U FiAZ11Rf}oUS WASTE GEl+IERATOR G CMK3MN RANCH I; 0 PKG TREAT04ENT PLAWT <br /> ❑ <br /> TIERED PBRrAIMD FACILITY ❑ II OTEIIHOTEL Q PUMPER TRUCWYARiDxHEm TOILETS <br /> ❑ TAT'TODBODY PEIRCM0 0 POOU$PA <br /> O MEDICAL WASTE FACUX Yi', O LAID USE APPUCATION slTES <br /> O PUBLIC WATER SYSTEm i O OiiilrR(PLR"E SPECII=Y A80VE) <br /> �- List Up to ten addresses in the spaca above. Select the type(S)of fileS from tha list above by checking <br /> the appropriate box(es). At lust one file type MUST be selected. !? M 46"138 or m <br /> 2. EHD will notify the applicant if any EHO fifes exist An appointment fOr MView will be Confirmed <br /> approximately five business days but no later than ten(90)diys after receipt of application, Tire files <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 actively bein worked on b EHO sta I <br /> 9 Y ft may not be irnmedeatel available for <br /> Y review. A R <br /> apQl�iG■lti4n may be subm+tlecf>I+rtlen the file is avaFlable. ! evir <br /> E 4. Any file not returned in th"same Condition as released mill�reaTganded by END Staff at the expertise' <br /> of the a 1pli <br /> can Future fila reviews by file soma applicant may require a$78.04 deposit prior to Teviow. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6• Applications received after 3_04 prn will be processed the next business slay. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> I} <br /> DATE CONFIRMED PHONE FAX IWIALS <br /> REVIEWED YES NO <br /> Fr+ne �a au�+,aa ftEYiML1ATE ' <br /> ', l <br />