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���, SAN U ENVIRONMENTAL HEALTH D VISIONw <br /> JUL O 3 2000 304 EAST WEBER AVENUE,THIRD FLOOR <br /> SrOCKTON CA 95202 I 1\ <br /> ENVIRONMENT HEALTH <br /> (209)468-3420 1 ` <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE AFPLICA ON <br /> BUSINESSIAGE.NCY <br /> AP P LICANT„�� /"��^, <br /> ADDRESS �, 3 S �j + \y <br /> PHONE l`•'� 7 L�`�` FACSIMILE J " <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> IPltase fine 7 to 10 husinew days from date of application submittal) <br /> El CHECK BOY.TO EXPEOITE REQUEST-STS.00 FEE-REQUEST PROCESSED IN}BUSINESS DAYS <br /> DATE <br /> \D�1GNATURE OF APPLICANT _ <br /> FILE ADDRESS YHiS SIDE BKD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> OS W, Ch4ri9J tA94 ckran 1c K ( g�1� <br /> i 6 Inco H 5T. cktDA ` -5 ' S2 251( ZZz° zu <br /> I f to ST. <br /> 6 it sr 71 3s.� � 1415 a3�sf ss <br /> WA �, {S i L 1y. I 3;Zlo <br /> r 2341 3526 <br /> 5 15 W. Gkar WW 3 ' -L L, K <br /> 01 W . 11tlnR o d i 3-.1 L. IL a3gl 35tiG 3 Z <br /> Ro N r Cwr\. 5 TPtaT <br /> \ ENVIRONMENTAL HEALTH DIVISION FILES C\A <br /> �) UP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY ` <br /> ERGAOUND TANK(UST) ( ❑ SOLID WASTE VEHICLE <br /> 0 OTHSITEER <br /> ❑ FOOD FACILITY <br /> ❑ OTHER ROUNllP ANN(NON-LOR ❑ DOG KENNEL ❑ DAIRY <br /> ❑ UNDERGROUND TANK(M EFUkTO ttGlREMOVAL) ❑ CHICKEN RANCH O PKG TREATMENT PLANT <br /> ❑ HAZARDOUS riA51�GENERATOR 0 MOTEUHOTEL O PUMPERTRUCKNAROICNEM TOILETS <br /> ❑ TIERED PERMITTED FACILITY a PDOU£PA Cl LAND USE APPLICATION SITES <br /> ❑ TATT00180DY PEIRCING p PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> ❑ MEDIGAI-WASTE FACILITY <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. Fax to 1209) 464-0138 or mail to the <br /> drlresc indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will beconfirmed <br /> h files <br /> approximately five business days but no later than ten (10) days after receipt of Application. <br /> will be held for a maximum of five business days for review. Appointments should he 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 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 applicant. Future file reviews by the same applicant may require a$78.D0 deposit prior to revlew. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHP staff. <br /> 6. Applications received after 3:00 pm will bo,processed the next business day. . <br /> CONFIRMED APPOINTMENT DATE TIME <br /> dATECONFIRMED _ PHONE FAX <br /> INITIALS <br /> I2) VIEWED YDS Ind REVIEW DATE TOTAL P.01 <br />