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L SAN3Fe3�C�UIN CO1li�1T'I''PUBLIC HEALTH CE <br /> �ECE��U/' <br /> J <br /> NVIRONMENIAL HEALTH DIVISI( <br /> ! 04 EAST WEBER AVENt1C,THIRD F1r00� <br /> !OCT 0 6 2000 STOCKTON CA 95202 <br /> ENS IRUNMENT HEALTH (200)46&3420PUBLI(P RECORDS RELEASEAPPUCATIaI'+,4 <br /> APPLICANT BUSINJ!E SJAGZNoY <br /> pHaAE 1510 7LY --b7� i FACSIMILE <br /> r I ' <br /> i '?ENTATlVE"APPOM TMENT DATE t 0 I i 4J W TIME <br /> (Please give T to 10 business days from data of appll=tion subMittal) <br /> CHECK BOX TO EXPEDITE REQUEST- 87.00 FEE-REQUEST PROCESSED IN G BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE L0(s 1c-.3 <br /> Ft ADDRESS THIS SIDE EHO STAFF USE ONLY <br /> I PROGRAM ELEMENTS SEARCH <br /> �D� 1T Q 0 $i1 T _ <br /> 1. Wfin. n" . <br /> '1 h <br /> � cENVIRONMENTAL HEALTH DIVISION FILES <br /> }INDERGROUNQ NK(UST3 CLEANUP S ITE(LOA) O HOUSING AHATEMEMT W SOLID WASVE FACl111Y <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY E3 SOUD WAM VEjaCL.E <br /> NDERGROUND 7ANK(MOHI ORINGIRE VAL) CI DOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH rd"PKG TPMATMENT PLANT <br /> O'TIEREPPERMITTED FACILITY G MOTELAiOTEL, ❑ PUMPERTRUCKMARDICHENTOILETS <br /> Iii] TATTO01800Y PELi2CtNG ❑ POOUSPA Gr LAND U$E APPLLCA-nOX SITES <br /> a MEDICAL WASTE FACILITY 'E3 PUBLIC WATER SYSTEM D 07lIER(PLEASE SPECIFY ABOVE) <br /> Y. List up to ten addresses In the space above. Selael the We(s)of files from the list abavc by ch ecking <br /> the appropriate box(es). least one file type MUST be selected. Fay:to(M)464-013$or mail to the <br /> I adtirgrs indicated abpy,!& <br /> 2. EHD will notify the applIca t if any EHD files exist. An appointment for ravi*w will be confirmed <br /> approximately five 6asine s days but no later than testi(10)days after reCaipt of applicatincl. The files <br /> will be held for a maximum of five business days for re%ftw. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immedWely available for review. A new <br /> application may b submit d when the file is available. <br /> 4. AtTy#il4 not returned in thsr same condition as released will be reargartlzed by 1=HD staff at this expense <br /> of the applicant. Future file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> S. 'TENTATIVE appointment 4atas must be confirmed with EMD Staff. <br /> S. Applications received after�3:00 pm will be processed the next business day. <br /> �ONFJRMED APPOINTMENT DATE TIME <br /> SATE CONFIRMED PHOi E FAX ANMAIZ <br /> EVIEWIED YES i NO Rl::dIEW DATE- <br /> elr m tc aararroo - ; . <br /> TOTRL P.02 <br />