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02/14/00 12_:37 FAC R16 65.E lUbl, ,.u,.n"��� �-��.••, •••, <br /> UAll NEGlIvtO EHD WG NUMU <br /> SAN J(..,OUIN COUNTYPUBLIC HEALTH S VICES <br /> ,v ENVIRONMENTAL HEALTH DIVISIOW co -09/ <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PYlic nrlXk1tyanl, UUSINESSIAGENCY L/YlljOa1 (r]InGLTi✓1[,� <br /> ADDRESS bEAmO 6 i1 Lyj:jaITi Rw n LA <br /> PHONE 11.6 - 1- jZ It-.tom FACSIMILE 4t6 -6,E2 -7174-tn <br /> , re Ge' <br /> TENTATIVE'APPOINTMENTDATE 7_12AInn TIME I : CO .vt ye <br /> (Please glue 7 to 10 business days from dale of appliration submittal) FEB 16 2000 <br /> 1 (1 <br /> CHECK BOX TO EXPEDITE REQUEST-$78.00 FEE <br /> -REQUEST PROCESSED IN 7 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT AkgAAj + /. b6r%l&" DATE IW ZMO �J <br /> I <br /> FILE ADDRESS 0 <br /> L MW 41 <br /> t-Od" MArne - <br /> p49 W, t4wi l t 'l <br /> Prn E. . tjwy Ii I__t war., \ — now 8 VP_V+Ie <br /> DlK Vit lz L rA, f��n_WeCr LA`Vwrr — now X44 l �I <br /> /� ENVIRONMENTAL HEALTH DIVISION FILES O 0 EVA[ <br /> M UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT El SOLID WASTE FACILITY EVE <br /> ❑ TNHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE FEB 22 2000 <br /> UDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL Cl PUMPER TRUCKIYARDICHEM TOILETS <br /> O TATTOOIBODY PEIRCING ❑ POOL/SPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any END 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. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <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 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$78.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />