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I V .U L <br /> V SANVOAQUIN COUNTYPUBUC HEALTH S&VICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 2 304 EAST WEBER AVENUE,THIRD FLOOR sTOCKTON CA 95202 72- <br /> (209)468-3420 <br /> UBLIC RECORDS RELEASE APPLICATION <br /> Suzan J. Hazard Lnairomnentaf S1rpport services <br /> .APPLICANT - BUSUIESSIAGENGy <br /> ` -.—..�� F+uy+rgnw�R[�WiF•GR UJgp�e larora! �` <br /> ADDRESS 7141671.3910 • FAX:714/671.1008 e <br /> PHCNE t 2700 Craig Circle Fullerton,CA 92635 T 64F <br /> TE11TATIV.,E'APPOtNTMHNT DATE TIME 31 a <br /> (Picaze givtr 7 t 10 twain n] d• s Ire date I aPPHca11oP:ubmitiai) <br /> ❑ �til7 � <br /> CHECK 90X TO,EXpEDITE REQ CST 7.00 FEE, E "ST PROC[55E 6 3 EUSIXESS DAYS <br /> SIGNATURE OFLf2PLICANT DATE 10 -30•-Oy <br /> FILE ADVRESB�• TKIS SIDE EHD STAPF USE ONLY '•�� <br /> PR9GRgM ELEMCW5 SEARCH <br /> 7 iii/. <br /> t <br /> IN77 Tim <br /> - 1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> Cb uNDLR3ROUND TANK(UST)GLFAINUP SITE(LOP) ❑ ROUSING ABATEMENT O SOLID WASTE FACU.ITY <br /> t7f OTHER CLEANUP SITE(NON-;DP) ❑ FDOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDER.OROUNO TANK(MONITORING/RGMO,VAy 15 DOG KENNEL ❑ DAIRY <br /> L�KAZARDOUS WASTE.cEN11RATOR O CHICKEN RANCH O IRK%;TREATMENT PLANT <br /> D TIERED PERMITTED FACILITY O MOTEUNOTEL O PUMPER TRUCKlYARC/CHEM TOILETS <br /> ❑ TATTOO14ODY PlIMCilN6 ❑ POOL15PA -•CI P LAND USE APPLICATION Sn'ES <br /> nEDtCAL wASTt FACILITY O PUBLIC WATER SYSTEM ❑ OTHER tPLEASE SPECIFY AaOVE) <br /> 1. List up tO ten addresses in tho space above. Soleet the typels)or files from the list above by ahockrn j <br /> the appropriata box(es). At least one file type MUST be selected. Eax to(249)464-0138 Ar mail to tly <br /> i s inblerted above. <br /> 2• EHD will notify the applicant if any EHD files axisL An apP01111 neht For reviorr will bD confirmed <br /> approximately five business days but no later than tan(10)days aRor receipt of application. The filas <br /> will be held for a maXimtrnt of five business days for review. Appointments should ba scheduled <br /> accordingly. <br /> S. A filo that is actively being worked on by EHD staff may riot be immediately available for reviow. A now <br /> aPpllca(Fon may bo submitted r bc:n the tiler Ia avalfablo. <br /> 4. Any file not returned in the samrr condltion As released will De reorganized by EHD HAjj at the expense <br /> Of the applicant. Future file revleWS by the same applicant may require a$67.00 deposit prior to review. <br /> S• <br /> 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6• Applications received after 3:00 pm WEI be processed the nextbUMness day, <br /> CONFIRMED APPOINTMENT DATE <br /> TIME <br /> OATS CONFIRMED PHONE FAX <br /> INITIALS <br /> REVIEWED TES NO REVIEW DATE <br /> iM1 N • aN/tl �" <br /> TCTRL P.Q1 <br />