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TEL rug v v <br /> \ �nnre uccu�eoGAL <br /> eGk <br /> 3AA&AQUtN COUN'fYPUBI,IC HIRALTHORVILMS <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304!EAST WEDHR AVENUE,THIRD FLOOR AUG 0 2 2002 <br /> STOCKTON CA 952D2 <br /> (202) /88-3420 <br /> t (PUBLIC RECORDS RELEASE APPLICAT16L IR E T <br /> OUSINE881AOtNCY t 6Ld"1 P v <br /> ADDRa91 1 T-� �G CC G, Z I <br /> PHONP. 714, ?2 ( O`T' 14 RAdlirrx ' <br /> s7 t <br /> TENTATIVE'APPOINTMENT DATE �('�Q �' __ TIME <br /> X (rli.uplv.7b10tweMisad r.o+�al. Pplleall .ubmlllit , <br /> CHECK BOX TO EXPEDITE REQUEST-Se111.8� "� ■ PR E@J. E �B NESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE ZZ— ' <br /> FILE AODR889 THI <br /> PI100RAM 8L8MaNTe 9YARCH <br /> 00 Cool e <br /> 0 m ra u <br /> 7- 0 <br /> s w� <br /> Z 5 . ai <br /> E. 0 <br /> 0 <br /> —/ ENVIONMENTAL HEALTH DIVISION FIILL{E�$ <br /> 1 X NDEROROUND TANK N97}CLEANUP SITla(LOP) ❑ H�� ABATEMENT ❑ SOLID WASTE VSHIC F <br /> ITHER CLEANUP atTE(NON-LOP) O FOOD FACILITY <br /> a ID� ITNDERGROUND TANK(MONtTDRINGIR!MOVALI O IN"KINHEL 0 DAIRY <br /> Ib AZARDOVS WASTE OENERATOR q CHICKEN RANOH E3PKG TREATMENT PLANT <br /> TIERED PERMTEO FACILITY inMOTELMOTPI. O PUMPER TRUCK/YARDICHEM TOI}.t`.Te <br /> \ O TATrOOIDODY Pa1RCING ❑ POOLMrA 0 LANA U8E APPLICATION SITES <br /> �b O MEDICAL WASTE FACILITY ❑ PUBLIC WATUR SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVU) <br /> 1. L131 up to ten addresses In the!pace abovo• Sateet the typa(s) of file" from the list above by cheeklnp <br /> the appropriate box(o"). At least one file type MUST be selected. Fax to L2R9Lae44138 or matt to the <br /> o address indicatedabove. <br /> 2. EHD will notify the applicant If dny END tiles exist. An sppofntmant for review will be confirmed <br /> �{ approximately five business days but no tater than ten(10)days fterpt of alp be soh", The glee <br /> will be held for a maximum of five buslneee days for review, Appointments <br /> uled <br /> accordingly. <br /> 3. A file that Is actively being worked on by&HD Staff mey not be Immediately available for review, A new <br /> application may be submitted when the file Is available. ,,,tied b Y EHD Starr at tn¢ expense <br /> 4. An file not returned In the same condition as released will be raorg <br /> of(he sppliCOnt. Future file review"by the same applicant may requlre a 589.00 deposit prior to revlew. <br /> 31 'TENTATIVE appointment dates Must ciebe d with the next business day.H <br /> b staff <br /> a- Applications recelve0 after 3:00 pmill ba pro <br /> ,I <br /> CONFIRMED APPOINTMENT DAT8. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YEAS Nt2 REVIf1NtiATE <br />