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Jan- 12-00 02 :32A Neil O. Anderson & Assoc_ 916 929 9269 P.01 <br /> i11-1_-_UUO 1_ lull r-}+'SNI IU .­� 1'j1L-.`_laljj��Uj P.UG <br /> �I F ( I GhO LOG mujov*n <br /> SAN�AQWN COUNTYPUBLIC HEALTH SI !ICES <br /> ENVIRONMENTAL HEALTH DIVDSION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (m)46a-342o <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT ff ff R , Q� _BiiSllrkaSfAGENCY +kss <br /> ADDRESS �} T \ t `i �� <br /> PRONE "I FRCStIIAIC - <br /> TENTATIVE'APlr01NITMENT DATE TIME <br /> IPI m"give 7 to 10 business days from date otapplication aubmivw) <br /> CHECK BOX TO FXPWftE REQUEST-11MO0 F$E--REQUEST PROCEssEn IN 9 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 1 DATE <br /> RLH ADDRESS <br /> v <br /> 4(m VA <br /> tr <br /> ENVIRONMENTAL HF-ALTH DIVISION FILES <br /> dUNDERGROUND TANK JUST)CLEANUP SUE ILOP) 0 HOUSING ABATEMENT O -SOUP WASTE FACItrfTY <br /> O OTHER CLEANUP SITE(NOF!-LOM 1 3 Foos FACILITY D SOLJO WASTE VEHICLE <br /> Z UNDERGROUND TANK(IMOHITOAIRWRII,MOVAL) 0 DOG KENNEL t7 DAIRY <br /> S HAZ,&ROOUSWASTEGENERATOR O GMC%ENRANCH 0 PKG TREATMENr PUNT <br /> TIERED PERMITTED FACILITY 0 MOTEUHOT€L 0 PUIMPER TRUCYJYARWC1HEM TOILETS <br /> O TATTOOMCOY PORC'ING O POOLISPA M LAND U SE APPLICATION SITES <br /> C3 31961CAL WASTE FACILITY 13 PUBLIC WATER 3Y3TEM IM OTHER(PLEASE SPECIFY ABOVE) <br /> I. List up to ten addresses to thea ae above. Select the tis of files from the list above b h <br /> P'a gyp ( ) y checking <br /> the approprlate boxajes). At least one file type MUST be selected- Fax tg.(ZQ9)454M38 or mail to the <br /> ag1jgair,Inclicatod abovy <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approXitrlately give,business days but no later than test(10)days after receipt of application. The tiles <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A fila that is actively being-worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the fife Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHO staff at the exo9nse j <br /> of the applicant. Future file reviews by the 933*applicant may require a$78.00 deposit prior to review. <br /> 5- *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed lite next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INfTRALS <br /> REV1Eti YES NO REWEW DATE <br /> L=1=21—�v�oa <br /> " ECEIVED <br /> TOTAL P.02 <br /> I <br /> JA J AN 12 2000 <br /> E:N' HONIVIE TALI HEALTH <br /> PERMIT / SERVICES <br />