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SAN 4WUIN COUNTYPUBLIC HEAL-11i #VICE��k(�d Vve-D- <br /> '"ENVIRONMENTAL HEALTH -1 . � <br /> 3D4 EAST WIEEIER AVENUE.THIRD FLOOR JUL 1 8 <br /> STOCKTON CA 95202 <br /> (209) 468-3420 CATIOriNVIRONMENT HEALTH <br /> PUBLIC RECORDS RELEASE APPLI <br /> APPLICANII ASINFSSIAGENCY <br /> ADDRESS L160 5- �SQ/) II)a O's <br /> PHONC- (50-9) q� q-/00& F!C ;IMILE -//IP ' - — <br /> TENTATIVE*APPOINTMENT DATE eal / W o—o TIME <br /> (pIV4$V j3j�t T to 10 business days from oate Qt appiicau�:Abpo <br /> CHECK BOX TO EXPEDITE REQUE -'18.00 FEE-REQUEST Ft M D IN 3 BUSINESS DAY <br /> SIGNATURE OF APPLICANT ==V"TSDATE /// 7 j <br /> j <br /> DO <br /> �2 10 it fr 7712C4 <br /> 2- <br /> U <br /> C- <br /> M LTH R toq -7 <br /> '::SN 'e>a'-j NVIRON' ENTAL HiAl T SOLID WASTE r <br /> (-'�'�JIJNDERGROUOO TANK(UST)CLEANUP SITE JLOP) Ej HOUSING ABATEMENT <br /> OTHER CLEANUP SITE(NOWILOPI 0 FOOD FACILITY 11 SOLID WASTE VEKICI.E <br /> UNDERGROUND TANK(MONITOKINGIRFMOVAL) M DOG KENNEL 0 DAIRY <br /> M C14ICKEN RANCH In PKG TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR M MOTEUROTEL 0 PUMPER TRUCKrYARDICHEM TOI TS <br /> TIERED FERMITTED FACILITY M P043LJSPA 0 LANE)USE APPLICATION SITES <br /> [3 TATTOOJBODY PEIRCING 0 PUBLIC WATER SYSTEM �K OTHER(PLEASE SF-15CIFY ABOVE <br /> M MEDICAL WASTE FACILITY <br /> 1 List up to ton addresses in the Space above. Select the type(s) of files from the list above by checking <br /> the appropriate b0X(es). At least one file type MUST be selected. Fax to(239L464-0139 or mail to ttt <br /> address ind[cate_q.Rb_av0- <br /> 2. EHD will notify the applicant 11 any rHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no laterthan ton (10) days after receipt of application, The files <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. Afile 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 clates 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 TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIFWED YES NO REVIEW DATE <br /> 14 VIJVWQU <br />