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\Nov -27-01 04_42P Krazan & Associates <br />&9/ <br />Ras <br />m <br />669 348 2201 <br />JUA01llfi COUfdTYTUk3L1C HEALTH Si�,RVlGEs <br />t t4V[FtOAfMEIVTILL HEALTH "'V1010I.1 <br />3044 -EAST W ESER AVENUE, THIRD FLOOR <br />STOCKTON CA 80=2 <br />2 7 2001 (20n)460 -:i. Q <br />�P,UBL1C RECORDS RELEASE APPLICATION <br />P.OT <br />9/ <br />APPLiGAN7 �I!!f t�t/�'/fyLl .. '-�:.'+_9USttiE551l1GENCY �AZAN i� T f `.-.��-_.-•._-.. <br />ACOftE:,s�,,,,•i d �aT/1* L . /1' !�_ s����%% _ - <br />TENTATIVE* APPOtrITMENTDATE <br />_f�4v� TN7L" <br />(Presse renailc lfl bu.•. inr�s Ut from C} rOi aPP11G:GljWl .vUnult:d) ' <br />eCHECK,BOX TD,EXPMITE REQLUMT • D FC- � [•� -S3 Ci � W ll&INESS DAY:3 <br />ZIGNATERE OF PPL!CAN7 —14 <br />LIATc 7" & <br />ENVIRONIME-NTAL HEA1.7H DIVISION FILLS <br />UJ4C:!K4OUttp TANK(US T) CI.FA%UP St7K(LOP) 0 NCUSLLVCAOATEMENT G SOLID WASTF PAIUUTY <br />ORRtd{{D1E:JFiiGCBLEOAUNNUL`P rSAINrKGt!+NgOCNN-lLtOoPi3)lN G/REMtivALL� FOODFAGUTY O SOLLO <br />WASIEVE14CLENWHWD OOG KE)jj-" U DAeiYPRATOR <br />0 CH)CY.EN IWNOH13 ML•N7PLAxT <br />❑ TIERED PCIWITTIaU rACILITY G MOUILINOTEL d PUAtpER TRUCWI-ARarCHEA570lLEI5 <br />a MMCALWArT FACILITY <br />U PODL/SPA: LAND USP Arrr_ICATION SITES <br />MGDICAL'WAtiTt FACIi_ITY p PUBLICWATER S Y$.TEU <br />' O7HCt1 (PLt.ASE tiPCUFY A(SOYE) <br />"• "Ist UP to ten addresses ifl the space above. SeteOt the typa(sJ of tilos from the list above by chocking <br />the apliropriate box(es). At !cast one file type MIDST be selected. Fai( tr. (2091 q64 013K or m i the <br />aAHrtrss indt jl4d above <br />2• CND writ -hoe the a <br />fY ppiteanf if any F,FtD files exist. An appointment for reviowwill he conRrmod <br />approximately five business days bed no later than ten (i O) days atfarrrccipt Df appficalion. The p7Ds <br />WillEre yell for a maximum of FVD business <br />accordiny�ly days for rovi¢w- Appoinfinentc sltaUld be sch¢dtNec <br />acc <br />. A file teat Is actively boing workod on by EHD staff Dlay not be !mnLediateiy available for :eviuw• Q neyv <br />ap3>Stcaaa. mAy hc>ryttlSttoci wren the £le fa avatlabfc. <br />i• Aa1y rile not: ciurned in th¢ same u0ndition an roteasw will be reergaDimn Uy END Matt at the uxp¢rlso <br />5 of the aPPATsvcAnl Future file review;; by this same appticetntmay require a $a7.00 dopos[t prior to IeVlew- <br />`TENTgTSVEappointment Caton must be svnfimtcd with END staff. <br />E- Applications received after 3;00 <br />. Pm will tx grocossgd the next bOsir.Gss day. <br />CONFIRMED APPOINTMENT DA�i e <br />TIME <br />ekTa coNrtRmED <br />r� vtEwEn--~ _— PNVNe FAX rNrclAl � � <br />I x o!ro Yrs Mb REVIF-W oATv <br />O <br />r,� <br />TNIS SIDE OND -TAFF USC ONLY _— <br />PiIt"GKAM ELEMENTS SCARCH <br />• lst <br />ENVIRONIME-NTAL HEA1.7H DIVISION FILLS <br />UJ4C:!K4OUttp TANK(US T) CI.FA%UP St7K(LOP) 0 NCUSLLVCAOATEMENT G SOLID WASTF PAIUUTY <br />ORRtd{{D1E:JFiiGCBLEOAUNNUL`P rSAINrKGt!+NgOCNN-lLtOoPi3)lN G/REMtivALL� FOODFAGUTY O SOLLO <br />WASIEVE14CLENWHWD OOG KE)jj-" U DAeiYPRATOR <br />0 CH)CY.EN IWNOH13 ML•N7PLAxT <br />❑ TIERED PCIWITTIaU rACILITY G MOUILINOTEL d PUAtpER TRUCWI-ARarCHEA570lLEI5 <br />a MMCALWArT FACILITY <br />U PODL/SPA: LAND USP Arrr_ICATION SITES <br />MGDICAL'WAtiTt FACIi_ITY p PUBLICWATER S Y$.TEU <br />' O7HCt1 (PLt.ASE tiPCUFY A(SOYE) <br />"• "Ist UP to ten addresses ifl the space above. SeteOt the typa(sJ of tilos from the list above by chocking <br />the apliropriate box(es). At !cast one file type MIDST be selected. Fai( tr. (2091 q64 013K or m i the <br />aAHrtrss indt jl4d above <br />2• CND writ -hoe the a <br />fY ppiteanf if any F,FtD files exist. An appointment for reviowwill he conRrmod <br />approximately five business days bed no later than ten (i O) days atfarrrccipt Df appficalion. The p7Ds <br />WillEre yell for a maximum of FVD business <br />accordiny�ly days for rovi¢w- Appoinfinentc sltaUld be sch¢dtNec <br />acc <br />. A file teat Is actively boing workod on by EHD staff Dlay not be !mnLediateiy available for :eviuw• Q neyv <br />ap3>Stcaaa. mAy hc>ryttlSttoci wren the £le fa avatlabfc. <br />i• Aa1y rile not: ciurned in th¢ same u0ndition an roteasw will be reergaDimn Uy END Matt at the uxp¢rlso <br />5 of the aPPATsvcAnl Future file review;; by this same appticetntmay require a $a7.00 dopos[t prior to IeVlew- <br />`TENTgTSVEappointment Caton must be svnfimtcd with END staff. <br />E- Applications received after 3;00 <br />. Pm will tx grocossgd the next bOsir.Gss day. <br />CONFIRMED APPOINTMENT DA�i e <br />TIME <br />ekTa coNrtRmED <br />r� vtEwEn--~ _— PNVNe FAX rNrclAl � � <br />I x o!ro Yrs Mb REVIF-W oATv <br />O <br />r,� <br />