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s� <br /> COUNTYPUBLIC HEALTH*VICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APR 0 7 2003 304 EAST wHEET <br /> HIR <br /> D FLOOR <br /> STpCKTON CA 952Q2 <br /> ENVIRON (2DD)aW.U20 a3 0 <br /> RECORDS RELEASE APPLICATION/ <br /> ��y�APPLICANT?`y� 121, t �C( aUSINCSS/rA16ENCY n L �y QOIe(770�t <br /> /ADDRESS�(,1�)_ _/.7�• �.k D6b 0k1G�A.ri <br /> �� L;1HONE S�� ' 7.'7�� L� FAC31MILE�s�l�yy- <br /> TENTATIVE'APPDIHTMEW DATE 45 TME <br /> (Pleea►yiw 7 to 10 bucinoes dgrcT«n dote o/appaCatlon sutwnl 1l hpv![ta 5 �X ��fe.s�/R f <br /> ❑ C-gEcK aDOX TO EYPL'DRTi REQUE8T-fae.00 FEE <br /> - <br /> RRRQUEST PROCESSED IN 3 BUSWE3a DAYS Of 5'1 ' /1 vv •S 4ektt 14/Ya(4•!5 <br /> 't•8IGHATURE 0I-APPLICANT 1/",3— 7Y <br /> BID <br /> -- y FII,i, LENENI'S SEARCH <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> :3 HOUSING ABATEMENT ❑ $QUO WASTE FACILITY <br /> O UNDFAGROUND'fANK N3T)CLEANUP SITE(LOP) C] FOOD FACILITY 0 30UD WASTE VEHICLE <br /> ❑ OTHER CLEANUP SITE(NCN1-LCP) ❑ DOG FACILI O DAIRY <br /> ❑ UNDERGROUND TANK(MONrTCRING/aeMOVAL) ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> O HAZARDOUS VIAM-GENMPATJR ❑ CHICKMOTELEN <br /> ❑ PUMPER TRUCK/YARDiCHEN TOILETS <br /> O TATT0 15ODYrEItMTTTEP FAOICING ('/ _ ❑ POOUSP � a LAND US APFUCATIONoLEASE SPECIF SITES <br /> ❑ TATTOO/BODY PIaatClHo C7 ❑ OTHER(PLEAS65f'ECIFY ABOVE) <br /> (3 N EDICAL WASTEI'ACILITY <br /> t• List up to ten addresses In the space above. Select the types)*(tides from <br /> t °e listabove 38 orbmeu to ting <br /> the aPproprlate bor.(ec). At least Ona file type MUST be selected. - <br /> addruaa•I iW IS.!',bavo-, any EHD <br /> 2. Fjjo wi4"nattily II/e business days t`16applicanx IT but nnollater than tles exist. on(ID)days afterreceipt f appli=ti nappointment fr review will bt I.The files <br /> pp y <br /> will be bold for a.maximum Of five buelness days for review. Appointments should be schedule <br /> accordingly. <br /> 3, A Elie that is actively being worked on by EHD staff may not be immediately available for review. Anew <br /> application may bo submitted when the foe is available. EHD at the expense <br /> q• Any fit a not returned in the same Condition as;rolsasa cew„tl may be reorganizedea$ <br /> 89 0 deposit staff pr or to review. <br /> of the applicant. Futuro file rovlows by the same epP <br /> 5. 'TENTATIVE sp,wintment dates must be l confirmed ceased the next staff- <br /> as day <br /> 6. APPVi dons r¢r:eived uftar 8:00 pm <br /> � CONFIRMED APPDINTMF:NTpATic <br /> TIME <br /> PHONE FAX INITIALS <br /> DATE CONFIRMED <br /> REVII=W>+D <br /> YES NO REVIEW DATE <br /> v�oaw�aw <br /> Ed wdso:OT :-00Z L0 'Jdy 'ON Xtid WOad <br />