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FROM : NOA Environmental PHONE NO. : 209 369 4228 <br /> UAIE KEt MVtU Dec. 23 2002 12:24PM P3 <br /> SANARAQUINEHD tiOQ HUMMER <br /> COUNTYPUBLIC HEALTH StRVICES � <br /> i ENVIRONMENTAL HEALTH DIVISION <br /> v. 304 EAST WEBER AVENUE,THIRD FI-0014 <br /> DECJ 2002 STOCKTON CA 95202 joqtr <br /> (209)468-3420 <br /> UBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT F; <br /> rr��p I4e BUSINESSIAGENCY &JOA <br /> ADDRESS ZZ 1\C_ �ov5�i v. �,- C iq -f Z Sib ---_' <br /> PHONE v5 Z- 3 70 j ` FA//CSIMtU-(Z.62) -7pl1 - Z.Z 6, <br /> TENTATIVE"APPOINTMENT DATE l0, Z G�3 TIME /,��r►._ I - �/3 7 <br /> (Please give 7 to 10 business days from date of application submittal) � <br /> D CHECK BOX TO EXPEDITE REQUEST-589. E-RE N 3 BU T P ocESSED IBUSINESS S NESS DAYS Uhl 0 <br /> I-' ZSIGNATURE OF APPLICANT DATE 12-- Z" U Z <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> z 960 y c(or- <br /> 3 <br /> !� <br /> J <br /> 1�f <br /> 5i - <br /> cA <br /> r More d?.f 14 SL m <br /> J ` <br /> cell �.5� �C �1L'Iwi <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> M'OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACiUTY ❑ SOLID WASTE VEHICLE <br /> ZZ UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> I$ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑ TATTOO/BODY PEIRCING Ea POOUSPA 0 LAND USE APPLICATION SrrES <br /> ❑ MEDICAL WASTE;FACILITY ❑ PUBLIC WATER SYSTEM OTHER(PLEASE SPECIFY ABOVE) <br /> 1. hist up to ten addresses in the space above. Select the type(s) of flies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify th®'applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ton(i0) 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 /> 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 EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$89.00 deposit prior to review. <br /> 5, 'TENTATIVE 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, TIM, <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> �a11-0M'. <br />