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TUtd 8Z-2aQI� 15:24 _ WO©DWARD-CLYLE CONSULTANT 510 874 3268 P.02/02 <br /> 1 .7f1;`! Hl;ttlllV 4.lJUIV I 1 russLlt, nLHLj n <br /> NViRONMENTAL HEALTH DIV <br /> 304 CAST WED ER AVENUE,THIRD FLCaOk <br /> i STOCKTON CA 9S202 <br /> (209)468-3420 <br /> I PUBLIC RECORDS RELEASE APPLICATION <br /> IAPPLlCAPiI' r�F�T 31NESSlAGENC'f - <br /> IFHOt4a~SS. I cJ FACSIMILEfJ� <br /> • I , <br /> TENTATIVE APPOENTMENTDATE C6 Q.2.6Q -nmr. 10'30 . 1' <br /> (Please give 7 to 10 bt3j'ma43 des from date nfapGli"j';an submittal) <br /> s <br /> )CHECK SOX TO EXPF�ITE REwQUE_ 8.00 FEE-RE(lueST PROCESSED Ifs S BUMESS DAYS <br /> SIGNATURE CIF APPI.XANT "`._; _ DATE [�,S o. <br /> i <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> ' riPE PROGRAM ELEMENTS SEARCH <br /> SAWAii tL15,0A3 l&Y �- <br /> 1,25Z, .2. <br /> 1+ �n�114Gr F' <br /> Jag? S• 0 opt 2. <br /> � 71 NG D �4}1C.5oN f- <br /> E� �4 S a-) - S. <br /> Erl�V� 45';.- S 119cC• a� W;. <br /> ENVIRONMENTAL HEALTH DIVISION F1L.I±S <br /> f';)8 UNDERGROUND TANK ttIST)CLEANUP SITE(LOP) Q HOUSINGA8ATEMENT M SOr_0Vk(ASTE FACILITY <br /> i� 6THERCLEANUP SITE(N0K-I-0P) . ❑ FOOD FACILITY Q 50Lt0 WASTE VEHICLE <br /> 3•'14 L1I4DFAQ.RQUXD TANK(M0Nrr0FUNWF?,r-R90VAQ Ci DOG KENNEL EO DAIRY <br /> i1 d HAi G,Zc747U5 WASTE Get-rrtATOp © CWKEN RANCH E7 PK0 TRIZATMENT PLANT <br /> Id TIEREpPF_WInT:nr-AZ;I-JY in MOTELMOTE1, 0 PUNPERTi,UCK/YAKDtrHIZ?lTOILETS <br /> '0 r�'1S{CING ❑ POCUSPA 4 LAN13use APPLICATIONSITU <br /> - <br /> - <br /> E: -?-ILITV a PUBLIC WrATeFt SYSTEM F] <br /> . M>YR(pLXA3E SPECIFY ABOVE) <br /> 7. 1_ist Up to ten addresses in the space above. Select the type(s)of files from the list above 5y checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax_toS209)464.0.138 or mail tp thg <br /> j address indicated above, <br /> z• EHD will notify the applicant if any 91-ID-file$exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10)days aftarreceipt Of application.LThe files <br /> will be hold for a maximum Of five bUSlness days for review. Appointments SlAcUld be scheduled <br /> accordingly. <br /> 3. A Tile that is actively being worked on by END staff may not be immediately available For review, A new <br /> application may be subrnitted 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_.013 deposit prior to review. <br /> f 5. 'TENTATIVE appointment dates must be confirmed wills E.HD staff. <br /> 6. Applications received after 3;00 pro will be pracassed the next business day. <br /> CONFIRMED APPOINTMENT DAVE TIME <br /> DAVE CONFIRMED PHONFFAX INITLALS <br /> REVIEWED YES NO ReVIEW DATE <br /> OT►L.F.01 <br /> TOTAL P-02 <br />