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FROM NOR Env i rorxrren to l PHONE`NO. 209 369 4226 Dec. 23.2002 12:24PM P3 <br /> uxI L•Rllrrvtu , <br /> r SANQUIN COUNTYPUBLIC HEALTH RVICES >,cx:��IR <br /> - <br /> rf ENVIRONMENTAL HEALTH DIVISION <br /> " 304 EAST WEBER AVENUE,THIRD FLdOR <br /> DEC2 Z��� STOCKTON CA 95202 .10qr <br /> (209)488-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT_ja: C B1351N>_SSIAGENCY LOA X52 / <br /> ADDRESS �Z �'ov► r <br /> PHONE FACS <br /> IMIL>~ X09 30 —q Z2 ZT <br /> TENTATIVE"APPOINTMENT DATE �to 7Ali 7 <br /> TiME <br /> {Please glue T to 40 busEness slays iron+date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST RET p OCESSED fN 3 BUSINESS PAYS unt <br /> f <br /> SIGNATURE OF APPLICANT <br /> DATE; �Ve Z i <br /> > i <br /> K1LE ADDRESS THIS SIDE EHD STAFF use ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> l M is l- .. l.ad: GFS <br /> 4{ar No <br /> rA <br /> J � I <br /> 7101,91 14cit J0464 `. <br /> 13 C4�1 <br /> 5 97C,q <br /> CV '41 <br /> xI <br /> ueii tS %c P1F.R."m <br /> ENVIRONMENTAL HEALTH DNISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Ia HOUSING ABATEMENT ❑ SO: UD WASTE FACILITRrQTHERCt-EANUPSITE(NON-LOP) ! ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLUNDERGROUND YANK(MONITORING/REMOVAL) D DOG KENNEL D DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKENRANCH ❑ RKG TRFJITMENT FlJT1ERL�D PERMITTED FACII�fTY ❑ IVtOTtcLlHOTEL d PUMPER TRUCVJYARD0 TATtOO18ODY PEIRCING 0 POOLISPA a LAND USE APPLICATIOC] MEDICAL WASTE FAGILriY D PUBIJC WATER SYSTEM 91 OTHER(PLEASE SPEC <br /> 1. List up to ten addresses in the space above. Select the type(s)of files!from the list above by checking }I} <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)4G4-0138 or mail to the 1 <br /> address indicated above, <br /> 2. EHD will notify the,applicant if any EHD files exist. An appointment fo I review will be confirmed <br /> approximately five business days but n.o later than,ten('10) days atter rocgipt Of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by END staff may not be immediately available for review. A new <br /> application may be submitted when the fila is avaliable. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future rile reviews by.,the same applicant may require a$89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointsnent.dates must be Confirmed•with EHD staff. <br /> 6. Applications received after 3;00 pm wili he processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIMEAk <br /> ' <br /> ... <br /> DATE CONF RMED ,PHONE t=AX 'INITIALS <br /> REVIEWED YES NO -REVIEW DATE <br /> k H r <br /> . - I <br />