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9`3-94 2891 11 33PM FROM — TG <br /> �~ 'L`�AN J©AQUIN COUNTYPUBUC HEALTH SERVICES il� ..v iwN�u <br /> ENVIRONMENTAL HEALTH DIVISION <br /> i 304 EASTWESERAVENUE,THIRDFLOOR (.v <br /> 1 SF STOCKTON CA 95202 <br /> H (209)468-3420 <br /> «T'UBL(E RECORDS RELEASE APPLICATION <br /> APPLJ f Nl�k� ; �1MUE1-SQN. euswEssIAGENCY �>=� ENV It2C11.( MEAI-F�L,�'rJC <br /> ADD ss 1 D 2 NOVA-rd 'Aouu=11PP-D SXAITE cyim - - - - <br /> .PHON I )��_S4Q 1 (y�O ' . FACSIMILE I `j �L4 1 5 1 8 q Q I LU <br /> TENTAT(VE'APPOINTM DATE ( Y l `7 TIME= <br /> (PI0969 glvc 7 to10—b..m s dW.a fra date of appuc ucln subuiRMI) <br /> RFI- <br /> u c ECK BOX TO EXPEDITE REQUEST-SSTXO FEE-R4QUE5T PROCE$ D W 3 BUSINESS DAYS <br /> SIGN�I TURE OF AF PLICANT DATE <br /> I <br /> FILE ADDRE35 THIS SIDE END USE ONLY <br /> PRQGRAM ELEMENTS SEARCH ee� <br /> '3LPt17 tTN AiRPoP.T- NNJ 23i Zi /lam <br /> vy�y39lvp.,1901 222c, 2 3Z Z2 j 2Z! 239` , �/ <br /> \, 5 Sarm ' tRPo2T A .'1-_38/• � <br /> 3 SOUTIi Et_ Oo 6 55 6'C" �3cd 1,2 3 sS✓, moi 'F ZZ �% t <br /> z4i2 SeIaTH L AOo S ftEE-r 114.?fc <br /> $10 Scw,Tt-t EL aorz0.4o; T(tEET 351 "Z - 2Z3z <br /> 240 5o!a CilciFORN/A r28Er ' 42- t/2 6 z3Y 39H <br /> 85� /!1e Luinn 6 Sr; O <br /> �. 33 1� !?7h :57-,. ENVIRONMENTAL HEALTH DIVISION FILES <br /> II �Z.z9,s, .Y/ 2910 ?S-i:Zy20 <br /> UN EKOROUND TANK(UST)CLEANUP Srre,.:(LOP) 6/HOUSING ABATEMENT SOLID WASTE FACT <br /> p ER CLEANUP$i{'E(RON•Lop) 0 FOOD FACAITY SOLD WASTE VEHICLE SEP 3 2��� <br /> U ERGROUNDTANK(MONITORINGIREMOVAQ Q DOG KENNEL DAIRY <br /> NNA ARDOUS WASTE G(MONr OR O CHICKEN RANCH PKGTREATAIENTPLANT <br /> TIE¢ED PERMITTED FACILITY O MOTEUHOTEL PUMPERTRUCKICATION SIT ES <br /> O TA OOIBODYPEIILCING O POOLISPA LAND USS APPLICATION SIZES <br /> O 'ME ICAL WASTE FACJLr 0 PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to-too addresses'in the space above. Select the typo(s) of files from the list above by checking <br /> the appropriate box(es).i At least one ran typo'MUST be selected. Fax to(209) 4§A9138 or mail to'the <br /> 1 address•indicated above- <br /> 2 EHD will notify the applicant if any EWD files exist An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10) days after receipt of application.-'rhe files <br /> will be held for a maximum of five business days for review. Appointments should be sehedulod <br /> accordingiy. <br /> 3. A file that)s actively bellig worked on by EHD staff may not be Immediately available for review. A new <br /> application may be subD(itted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> ' of the applicant Future file reviews by the same applicant may require a$87.00 deposit prior to review, <br /> 5. i 'TEN.TATIVE appointment dales must be confirmed with E}W staff. <br /> 6. I Appficalons received after 3:00 pm will be processed the next business day. <br /> 1 I <br /> CON IRMED APPOINTMENT DA'L'E TIME V <br /> DATEI CONFIRMED • PHONE FAX INITIALS <br /> Rbtil D YES NO REVIEW DATE <br /> �a ,oMr TOTAL P.81 <br />