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A u 0 1237PM NOF rNVIRO 209, 369 ,4228 No 6238 P• 2 <br /> ii�L�II� T AN .1O LlIN COUNTYPUSLIC-HEALTH SERV�''�""S a mu{DG � <br /> �� <br /> ENVIRONMENTAL HEALTH DMSION <br /> AUG 2 5 2004 304 EAST WEBER AVENUE,THIRD FLOOR. <br /> STOCtCTON CA 95202 <br /> ENVIROfgM� HEALTH (x09)4U440 <br /> PERfTISE Ft . PUBLIC RECORDS RELEASE APPLiC1�TION <br /> APPLICANT C�� �J,G_ susrNESSIAGENCY e' �. iso � ass _tip <br /> ADDRESS 9 0 z Loa ` c A Gt 5 2L/O <br /> PHONE 2-0')- 20 FACSIMILE , - �6 ZZ S <br /> TENTATIVE*APPO MYMVKT DATE TIME . <br /> (Please give?to 10 bwaset days from data of applieatioo Wbrrtidtt) Lot <br /> CHECK BOX Td t5lCFEDITE IiEQIJEST-1;$8.40MLIIrST' SSO IN 3 BIJSiNESS HAYS <br /> -SIGNATURE OF APPLICANT `r DATE <br /> FILE ADDRESSTHLi SIDE EHD STAFF USE ONLY <br /> Mi � f-uS '3 36 PROGRAM ELEMEM SEARCH <br /> 1.1 h r n G ti a <br /> 1-1 Z "i /r <br /> �, 1 n o fs ,'c <br /> —J" V-01-5 V119111 j <br /> r �e <br /> ENVIRONMENTAL HEALTH DIVISION FILE6 <br /> /�DERGRGHND TANK(UST)CLEANUP SITE(l. IM ilousIxG ABATEMENT ' OUD WATEE FACILITY <br /> HER CLEANUP SITE(NOR-LOP) 17 FOOD FACILITY O SOLID WATEE VEHICLE <br /> DER'2"O`JND TANK(NIONITORINOIRSNEOVAL) 0 D013 KERNEL 0 DAIRY . <br /> HAZARQOUS WASTE GENERATOR 13 CHICKEN ftAWCH O PKO TREATMENT PLANT <br /> 0 TIERrED PERMITTED FACILITY 0 MOTELIHOTEI_ In PUMPER TRUGWYAROMEM TOILETS <br /> 0 TATMO1300Y PEIRCING = AOOLISPA C1 LAND USE APPLICATION SITe3 <br /> 0 MSDICAL WASTE FACILITY 0 PWILIC WATER SYSTEM 0 OTHER(Pt En JE SPECIFY ABOVE) <br /> I List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the a{rpropriate box(es). At lest one filo typo MUST be tolectod, flax to(201464-01138 or m211 to the <br /> adshess Indicated above. <br /> 2 EHD will notify the applicant N any EHD files exiaL An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The fifes <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> aorordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted whoa the file is available, <br /> 4. Any flie not returned in the same condition as released will be reorganized by EHD staff at the expense} <br /> of the applicant. Future file raviows by the some applicant may require a$89.00 depaeit prior to review. . <br /> 5. 'TENTATIVE appointment dates must be confirmed with END staff. <br /> 6.. Applications received after 3:00 ern will be processed the r%ext business day. <br /> CONFIRMED APPOINTMENT DATE - TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />