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SUN-01-2000 15:24 WOOD61ARD-CLYDE CONSULTAI•IT 510 674 3268 P.02i02 <br /> OAN AIIIV L-VU111 IYUi DLI ra�� 1-1" I VII r-J <br /> _y W ;LVENVIRCNMENTAL HEALTH D!VISID <br /> f 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> (APPLICANT r aC 4 SINESS)AGENCY <br /> I. <br /> DDRESS <br /> FACSIMILE J`U� <br /> li TENTATIVE•APPOINTMENT PATE <ys L.oc TIME IO:L30 I' <br /> (Please Give 7 to 1 G b63inQ43 days from date of aWJication submittal) <br /> I <br /> GHECK 80X70 EXPEDITE REQUE 8.00 FEE—REDu cST PROCESSED IN 3 BUSC7ESS DAYS <br /> SIGNATURE OF APPUCANT 1 DATE a S o. <br /> i <br /> I <br /> FILE ADDRESS ¢le THIS SIDE EMD STAFF USE ONLY <br /> T'tPROGRAM ELEMENTS SEARCH <br /> ' Is 6 1414 c• Cr+-rrR2s7L <br /> WAY <br /> t <br /> 5-4WATiea t 7 S• td!LSoAs "y a• <br /> 9 <br /> 125a 5, WitSa4 -• il 1L <br /> (-t+�R.nu Ksr C' ra s• w� oa .1• <br /> II iJG N /f4f$ • SiEIGRA lJEVA04 -• <br /> j0:2 1diL5'dV <br /> Ij TA{, PJ E04 Co . (Sas C4+A•2T6V— 11 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ,*,:A UNDERGROUND TANK[VST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> 1-iS OTHER CLEANUP SITE(NOK-1,QP) O FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> S ,A UNDEAaROUND TANK(MANiTORINGIMMOVAL) 0 DOG KENNCL 0 DAIRY <br /> 10 MP 7l?DQUS Vr.4STF GENERATOP D CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> 10 TIERED PF.RI,InT 11J`A;PJ rY ❑ MOTELIHOTEL ❑ PUMPERTRuCKIYARDICHEM TOILETS <br /> '0 7-:TiC:O;:'.0 D'i r'-"RCING O POOLISPA 0 LAND USE APPLICATION SITES <br /> 0 PUBLIC WATER SYSTEM 0 OTHEREFLEASESPECIFY 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 he selected. Fax to (209)464-0138 or mail to the <br /> address indicated above. <br /> j 2. EHD will 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 aftor 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 he immediately available for review. A new <br /> application may be submitted when the file is available. <br /> i 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 /> i 5. -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 /> LREVIE1YED <br /> APPOINTMENT DATE TIME <br /> MED PHONE FAX INITIALS <br /> YES NO ReV1EW DATE. <br /> . TOTAL P.01 <br /> t TOTAL P.02 <br /> C*10y <br />