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\v' SAKI JOIN COUNTYPt16LIC HEALTH SERVJ&S <br /> Y <br /> Ei_ IRONMENTAL HEALT14 DIVISION <br /> 304 flAS'T WESER AVFNUE,THIRD FLOOR � r3 <br /> STOCKTON CA 95202 <br /> (2091 46934.20 <br /> " ' PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICAN ''\ R� � : UP.� _SUSINESSIAGENCY <br /> ADDRESS u <br /> PHONE LI IS, 115 U�U r -- FAC5INLE <br /> �rpJTENTATIVE'AFPOiHTMENT DATE <br /> TIME N,% �• <br /> e <br /> ('PlR ytve T m t•bwj Oay�of a=[JCiwanF'u.^ ' <br /> CHECKS"TO EXPEDITE RE:ITIIEST-$07.00 FEE- U-2ST PROCESSED IN 3 OUSINESS DAYS -- <br /> SIGNATURE OVAPPLICANT DATE I f Gr <br /> 6/ ' <br /> PUE kdfMESS 1 TO SmE END STAFF USE ONLY <br /> NF srFcs e n e(� Ot l PROGRAM ELEAWNTS SEARCH <br /> Ne � Srcrr. en n �.. <br /> o Soc a c' <br /> 10 N <br /> N F tOc c } SPCfaME'nD <br /> -'N• 31 a a N.t <br /> N` U ra <br /> N 1JL <br /> IOZ'i $ rja r,, E, <br /> 1�j � 12.1 Sou Sa Crr,�mN n-Eo I . <br /> ENVUTONAIENTAL HEALTH DIVISION FILES L^ U ji I <br /> UNOERGItOUNQ TANK(UST)CLEANUP SITE CLOP) ❑ HOUSING ASATENFNT 4 SOUP WASTE FACILITY <br /> ITE <br /> OTHER CLEANUP S (NON-LOQ O FWD FACILITY ❑ SOLID WASTE VMCCLE <br /> TQ UNDEWROOND TANS((MONITORINGIR£MOVALI ❑ DOC KENNEL O bATY O <br /> 1Q HAZA=QU8 V*k57£%EHERATaR ❑ CHICKEN RANCH U PKG TREATMEFNT PLANT <br /> ❑ TIEREOPERMI' air-AGILITY ' ❑ MOTtLMOTEL ❑ PULSPCRTRUC1VYARpr K0N TOILETS <br /> 6 TATTMUODY PORCINO ❑ POOt1SPA - ❑ LAND U3Z APPLICATION STYES <br /> O MEDICAL WASTE FACILITY 9(PU5LIG WATER 5Y5TEMt ❑ OTHER QrLSASE SPrC Y AWNE) • <br /> f. <br /> List up to ten addreltes in thQ space above. Select the type(a)of files from the list above by checking r ', <br /> the appropriate box(es). At least one file type MUST be setactad. Fax to(M 464.0138 or mail to the W <br /> addrespinalcated above <br /> 2 EhD will ITofity the applicant it any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no!Ater than ten(10)days after receipt of application. The files <br /> Will be he€d for a moWrnum of five business days for review. Appointments should be soheduted <br /> accordingly. <br /> 3. A tike that is actnlely being workea on by EHD staff may not be immediately availal le for revlew. A new <br /> application may be subm€tted when the file is available. <br /> 4. Any file not ratumed in the same condition as released will be reorganized by ENO staff at the expense <br /> Of the applicant Future file reviews by the same appricant may require a $87.00 deposit prior to review, <br /> 5. "TENTATIVE appointment dates must be cohfirmad with END staff. <br /> 6. Applications received atter 3:00 pm will be proo"sed the next business day. <br /> CONFIRMED APPOINTDAENT DATE TIME <br /> BATE CONFIRMED PHONE FAX INITLgLS <br /> REV€EWED YES NO REVIEW DATE <br /> nI qr a u•rr+oa <br /> TOTAL P.01 <br /> TOTAL P.01 <br />