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-2s ea,,�aim FRDt 7p 1530342A4 0 <br /> r ;. 9Iai oaNUMseR <br /> R '�H SE VICi~S _s <br /> t `.;'•' . SAN .It�AC�UIN COUN�'YP�JI�LC EAL <br /> H T R <br /> ENVIRONMENTAL HEALTH DIVISION . <br /> _ 304 EAST WESER AVENUE,THIRD FLOORI <br /> S'1e OCKT ON CA 95202 <br /> 1 aQ (209)488.3420 ;r <br /> r . <br /> �g PUBLIC RECORDS RELEASE APPLICATION <br /> W <br /> fWee <br /> LfCAWT GUSINE5VAGENCY <br /> NE SIM ' � _ —FACSIMILE <br /> ' <br /> ENTQAY6 Q OOT:NTATIVE.APP INTMITill i2:a0 n�' <br /> tolo usutBas da (Torsi Qxte of App1+0ti submitli) � Y <br /> } SINES3 DAYS <br /> -;87.00 FEE- ftE(1DEST PROCESSED!N 9 Bl1 <br /> tCPIF-CKIDOXTOUPF-101ITSfRIE1011UFST l DAYS <br /> THIS glpg END STAFF USE ONLY <br /> ,. FILE ADDRF$5 pRQQRAIvi ELEMENTS 811"C" ` <br /> Rj. {GA 952- 2 5 l <br /> oo'Jr his r Ro1', t_o i`T" �S� T KtA2 <br /> 2a17 <br /> `•" D 'L Or <br /> L'a r I <br /> `s <br /> ot.Ice , <br /> Fir <br /> I � IL400 Wco <br /> 1+ Z , 3, �' ENVIRONMENTAL HEALTH DIVISIQN FILE`S <br /> ljlI1WRGR0UN0'rANK(QST)CLEANUP SITE(LOP) El HOUSING ABATEMENT .k SOLID WASTE FACILITY � 1 <br /> ❑ FOOD FACILITY I} O 84L1a WASTE VEHICLE <br /> &HtR CLEANUP SiT6(NON•LOPI !} M DAIRY <br /> y?iOERGROL1N0TANK(I41ONlTCRINGfREUAbVAt) D DOG Cl C}IjCI{E�INEL <br /> RA�ICtt !1 PK3TREAT MENTPLANT <br /> } ZARD0118YVA5rEGENEIiATOR I3140TELIHOTEL ,.. PUMF'FRrRtJCKNARWC em TOILETS <br /> 'f KI!D p9MITTED FACILITY LAND USE APPLUCA►TION LTE$ <br /> ❑ ppOLrsPA <br /> II� SpECIFAT3011E) <br /> Opy PEIRCiNO I, p OTHER PLEASE <br /> rA ( � � <br /> ���' 5Y9ZEM <br /> a+ PUBLIC WATER <br /> I : 6! i AL WASTE FACILITY A PU <br /> Selcre s of fifes fnom the list above y checkini <br /> list up to teri ttd�lresses in the space abs ve MUSTbestetted. F t 4 .01 r <br /> tho appropriate boxes). At least arse T! type. <br /> ` '.address IndioalE. Y <br /> applicant If any EHD files exist. n appointment for review will be confirmed <br /> FHD will notify the t of a IlcaUa The flies <br /> L�l�proXlmateiy five business days but no later than ten (10) , y S atter er rrecei ei should be scheduled <br /> will be held for a maxiMUM Of flare business days for review.' Appse <br /> Itt�►rrtEingiy. �' <br /> Afile that is actively being worked on by EHD staff May not be Immediately available for r4vlew. A new <br /> applic 4tlon may be submitted when the filo is available. �� � i <br /> Any fila not returned in the same condition a8 released will be reoegaliixed by E"D staFf■little expense <br /> of the applicant. Future file roviews by the some appllcont Inay require a$87.00 deposit pilor to review. I <br /> "TENTA'i,1VE alppatntment dates must be confirmed with EHD staff-'r <br /> Appllcath�,is received after 3:40 pm will be proeeals+xd the next business day. 11 <br /> ' <br /> 16 <br /> 'CONFIRMED APP411�MMENT DATE TIME <br /> iFIETY <br /> DATE CONFIRMIwA �. - _ �--- PHONE F� dLS <br /> - <br /> nr►x�r_ti.�r_r. vrc+ sin aC"�nFW,nAT� i s <br /> ii <br /> li j. <br />