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Rpr 18 08 08: 10a p 1 <br /> DATE MUM aa)LOG K11fw <br /> SAN N COUNTY w <br /> ENVIRONMENTALTAL HEALTH DEPARTMENT pI(/' <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)4683420 <br /> PUBLIC RECORDS RELEASE (APPLICATION <br /> APPLICANT fir V1)'1 7--1 nom_-13USINEWIAGENCY <br /> ADDRESS�I� �I�;;yy(�i t HO(dorm i c'L 1(1(1 H >1t V6►I r 7MQ.p �/,-i G 31/�� <br /> PHONE Ul.'L�' ��'�-(i( t`O�J FACSIMILE U I('�` i tJ5-W 2-Z V _ <br /> TENTATIVE*APPOININIENT DATE TIME <br /> (Please give 7 to 10 business days from date of epplFoatim submittal) <br /> CHECK BOX To EXPEDrTE REQUEST.589.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> VA`6� e�rdmsee¢a <br /> THIS SIDE END STAFF USE ONLY <br /> FILE ADDRESS PROGRAM ELEMENTS SEARCH <br /> 3 1 � Ir <br /> �� m <br /> I <br /> i/ 6 . .1, <br /> S ) IF <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 13 SOLD WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILrrY 0 SOLID WASTE V011CLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> TIERED PERMRTEO FACILITY 0 MOTEUHOTEL ❑ PUMPER TRUCKIYARDICHEU TOILETS <br /> 0 TATTOOIBODY PEIRCING 0 POOLSPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OT14EFZ(PLEASE SPECIFY) <br /> 1. List up to ten addresses In the space above. Select the typo(s)of tiles from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail tot e <br /> address Indicated above. <br /> 2. - EHD w01 notify the applicant if any EHD 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 now <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 EHO staff at the expense <br /> of the applicant Future file reviews by the same applicant may require a$89.00 deposit prior to review. <br /> S. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm Will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE <br /> .TIME <br /> DATE.CONFIRMED PHONE .".FAX.. INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> 904642406 <br />