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••••••�• nl LSlL�7Lc311`#�.r <br /> 'ENVIRONMENTAL <br /> COUNTYPURLIr HEALTH.c ;VICES �o <br /> ENVIRONMENTAL.HEALTH DIVISIO)r' <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> APR 0 7 2003 STOCKTON CA 95202 <br /> (209)468.3120 <br /> ENVIRONMENT P&MUC RECORDS RELEASE APPLICATION <br /> KIVII I/ <br /> APPLICANT f t e 1_ WSiNESS/AOENCY_. URs Gvrp��cl�:,. <br /> aaDRM Si90 t a�5 t• S _ 4 a fi;�a..l��t.�,` /-t w� <br /> HOME Klo) qi- 1400 FACSIMILE 1���1�7y`3?C$ .4KA;��P ArQt14/ <br /> TENTAWE'APP01NTMLENT DATt: AS SOCn e!$ 0044 1e THE 154ov-7 6fu RS f 1'A nG!?S�IA rrS S <br /> (Please g1vs 7 to 10 business d�from late of apputadon submttlai) �� JI L 0 Z, <br /> CHECK OOX TO EXPSDTM REQUEST-589.00 FSE--REQUEST PROCESSED 1N a 8US1NESS DAYS e <br /> itSIGNATURE W APPLICANT &A �� '~*r urs Are z 0 <br /> S siD6 tXD STAFF USE ON! <br /> FILE AODRIESS pROGRAdI E4EIAEWTS SEARCH <br /> 1 � �„M 4�1:• N �.G <br /> ENVIRONMENTAL iiEALTH DIVISION FILES <br /> O UNDERGROUND ANK(UST)CI.I_ANUP SITS(LOP) a HOUSING ABATFARIYT O aOLID WASTE FACILITY <br /> SD OTN�cLEATaip:IRE(NON-LOM 0 FOOD FACILITY D SOLID WASTE VIRMICLIE <br /> 0- UNDEItGROUNt)T/tNK(MONI=RmGA'�u CI 003 KENNEL, t3 DAIRY <br /> E3 NAZA�q WA's rE OF-wRAT✓JR C1 CNICKr<li RANCH O PKa UMPER TPJJ15NT PLANT <br /> 0 TIEM PER.Mn"ILD FACiLRY 0 MLOTELrPIOTE! PUMPER TRLIGKIYARA/CHEN TOIlE'T3 <br /> ❑ TATT0018t7DY PtstRCil� 0 POOLISPA b LAND USE APrucx ION 51TEs <br /> G TATMOi CIDP P LRCM ' C3 El OTHER(pLWIE SPECIFY ABOVE) <br /> 1, Lint up to ten addlre-ssa=in tt%space above- Select the tA*S)of filar from the list above by checking <br /> the appri3priato box(es). At least one file type MUS be selected. Fax Lo 2081�Id-Q1. or mall to the <br /> addM ltndLOMM).S:LO-M <br /> 2, EHE)vvi:l notify ttty alppllcar+t H any EHD files exiyti An appointment for review wilt be confirmed <br /> approximately five ELusiness days but no later than ten('t0)days after recesp�of hovldpba$scheduled I�Ies <br /> will be hold for a m*Wmum of five business day's fol'review. Appo ritm <br /> accordingly. Istel available for review. A new <br /> 3. A file that is actwely being wofked on by EHD staff may not be immed Y <br /> appilelati-on may be submitted when the file is a!tvailable. at the <br /> 4. Any file not retunled in the same condition as rolaased will be reorganizedroq89.00 deposit prior to favi w. <br /> of the applicant. Futuro file wviews by the same app icant may roq <br /> 5. 'TENTATIVE appointment dates must be oorinrmad with EHD statf- <br /> a. Appll=tions receiv,od att&r&00 pm will be processed 010 next busing6s day, <br /> CONFIRMED AP P0IN't&flrrxl DATE TIME <br /> GATE CONFLRiAl:13 <br /> PHONE FAX INITIALS <br /> R)<VII:1l(18G YES NO REVIEW DATE <br /> nm <br /> £d WU60:0T 20OZ L0 ',dd 'ON XUJ WDad <br />