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�AN� , ctutN ca , ., <br /> NTYPUBLIC HEALTH <br /> VIRONMENTALHEALTH VISIOIIICI <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> 00/056 <br /> STOCKfON CA 95202 <br /> / (�1 (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATIOm <br /> APPLICANT G�OAC tS Y1Q BUSINESSIAGENCY Yi; ��JIYDn IO1P"Ll`trlit "'"'rU <br /> ADDRESS, TU- C22 <br /> pr46NE X71 c7 �j�e - O Tt� <br /> FACSIMILE 20) Lrl - V O'k Int <br /> TCNTATIVE'APPOINTMENT DATE;1 1-2> I� TIME ID-OD Ikwl <br /> rr---- <br /> (Please give 110 to euslnass days from Batu or application submittal) <br /> 13 CHECK BOX TO EXPEDMF RECkUES'Tf-$7 FEE-REQUEST PROCFSSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE /00 <br /> FILE ADDRESS <br /> - <br /> 403 <br /> L i li4w n NoF'l*3 - <br /> e <br /> S e OF/S <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 9UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMFNT 0 SOLID WASTE FACILITY <br /> OTNFR CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONETORING/REMOVAL) 0 DOG KENNEL 0 DAIRY <br /> HA2AHDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTEUHOTEL 0 PUIB+ER TRUCKlVARDK:HEN 701LET5 <br /> M TATTOO)BODY PEIRCING ❑ POOLNPA 0 LAND USE APPLICATION SnES <br /> 0 MEDICALWASTE FACILITY 0 PUBLICWATERSYSTEM 0 OTHER/PLEASE SPECIFY ABOVE) <br /> 1, List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Epx to(Mg)464-0138 or mail to the <br /> address indicated Ahove. <br /> 2. EHD wilt notify the applicant if any EHD files exist. An appointment for review will he confirmed <br /> approximately five business days but no later than ten 0Q)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> aaaordingly. <br /> 3. A file that is actively being worked on by FHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4, Any file not returned in the same Condition as released will be reorganized by EHO staff at the expense <br /> of the applicatlL Future file reviews by the same applicant may require a STS•00 deposit prior to review. <br /> S. `TENTATIV)~appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATECONF(RRIfcD _, PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> TOTAL P.02 <br />