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U ._ , .. . <br /> 33-LS-� '- I�qc 7Fr1 FROM <br /> J .. SAN JMQUIN COUNTYPUBLIC HEALTH geRVICirS <br /> ENVIRaNMENTAL HfzAL7H 131Vf5iON / <br /> 304 E,,4ST WEBER AVENUE,THIRD FLOOR <br /> STOCKTONCA 95202 <br /> MAR 1 9 2001 (209)469.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> -tom <br /> AFPUGANT `! USIrIfi55lAQENly <br /> ADORESS �`�Q n <br /> 4 <br /> PHONE ,r `^^ <br /> Samar?)TIM< f ` r <br /> TENTAT1vE'^APPbWT las&C DaTP <br /> r•�t (P{ease Slue 7 to le Dualness days<ran data olappltcation ual4rfdl�t{) <br /> M CHECK 130X TO EXPED)T£REQ .UQ FEE-R£ ST PROCESSED IN a BUSINESS DAYS P <br /> SIGNATURE OF APPLICANT L DAT <br /> FILL'A09RE."+a IS SIDEE1tD ST E L <br /> L <br /> PF:1�6RANI ELEMOCTU SEAl2Ct1 <br /> v`2_ <br /> J 1 <br /> SZ 7 <br /> 1 <br /> ENVI,4ONM TAL HEALTH DiVIS104%4 FILES MAR 21 2001 <br /> T4 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) G HOULUR3 ABATEMENT O OOUD WASTE FACILriY <br /> OTHaR CLEAt1UP grrE(TION-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE"HICLE <br /> UNDf:ft3ROUND TANK(MONCTOnINQJREDIOYAL) ❑ DQG 14CHNEk ❑ DAIRY <br /> 1L4 RDCUSLVASTE GENERATOR ❑ CHICHPI'l RANCH 0 PKG TREATMENT PLANT <br /> TIERED PERMlTTEO FACILITY ❑' MOTFIIHOTEL 0 PUMPERTS <br /> TRUCK/YARD/CHEM TOILE <br /> ❑ TATTOO(SODY PEIRCING POOVSP{i C3 LAND USE APpLIGATION 9TfEiI <br /> ❑ MEDICAL WASTE FnCIUTY G PUBLIGWATERSYaTEM ❑ OTKER{PLEASE SPECIFY AB04B) <br /> 1. List up to ten address+rs In the Space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(ea). At least one file type MUST be selected. Faxtc I20 )464-0138 or melt tot <br /> adtirass indjGatod *boy£.. <br /> 2. EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approkim.ately five business days but no later than ten(10)days after receipt of appliCAtlon. The files <br /> will be held for a maximum of fives 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 be immediately available for review, A new <br /> application may be Submitted when the Lilo Is avallable. <br /> 4. Any file not returned in the same conditlon as released will be reorganized by EHD staff at the riper ry <br /> of the applicant. Future file reviews by the saint applicant may require a$87.00 dopoglt prior to review. <br /> s. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6, Applications received after 3;00 pm will be procossed the next business day. <br /> CONFIRMED AF+POttJTmF-mf DATE 'TIME <br /> DATE CONFIRMIED PHONE FAX tNITiALS <br /> REVIEWED YES NO REVIEW DATE <br /> -Erra - oaerroo , <br /> TDTT- P.01 <br />