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L1f:E ..Zu <br /> �k <br /> SAI`�1AQUIN COUNTYPUBLIC H,EALT RVICES <br /> ENVIRONMENTAL HEAL-'H DIVIS C 11 <br /> 304 EAST WESER AVENUE,THIRD FLOOR <br /> STOCKTON CA 85202. <br /> cAJOL 2 3 Z001 (2ft)a6a�a20 l <br /> T PUBLIC RECORDS RELEASE APPLICATION <br /> Ap11 'ova (..�+ f3u r1N>rSSIAGEN4�f ��UY1l2GP� (} �1J)v%enA► n7�11!�,�► <br /> ADDRESS 8. 7�/J,,/' 1/�A04d.�MA, , 25 <br /> [�/����J�-/ <br /> PHONE &! 7 6 r -50010 FACSRAILE_ �Q - 7 f� <br /> TENTATIVE*APPOWWENT DATE 520%0%. TITHE <br /> (Please give T to 10 business days fro dato of app4cadan suhmmso <br /> ;i:CCMECK BOX TO EXPEDITE REQUEST- FV QUM PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT - ; - DATE 23 I <br /> FILE ADORs=SS <br /> Als <br /> S K <br /> :lyG� n <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK[UST)CLEANUP SITE(LOP) ❑ 1,110113Wt6 ABATEMENT ❑ SOLID WASTE FACILITY <br /> J===WN,-Ltd ❑ FOOL]FACILITY ❑ SOLD WAS'T'E VEHICLE <br /> pviomrraimumemoVAL) ❑ DDG KENNEL D DAIRY <br /> HAZARbOUS WASTE GENERATOR ❑ CMCt0UI WINCH ❑ PK13 TREATMENT PLANT ' <br /> ❑ TOMED PERMI7'!'EO FACILITY Q MOTELINOTEL ❑ PAMPER TRUCKaYARD1CW A TOILETS <br /> (3 TATTOOBODY MIRCING 13 POOLISPA 0 LANA USE APPLICATPW WES <br /> ❑ MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM C] 91TIER(PLEASE SPECIFY ABOVE) <br /> 1. Ust up to ten addresses in the space above. Select the type(S)of files from the list above by checwAg <br /> the appropriate boxes). At least one file type MUST be selected. Fact to(209)_464-0138 or malt to the <br /> add apSflcated above. - <br /> 2. END will notify the applicant If any END files exist. An appointment for review will be confirmed <br /> approximately five business days but no tater than ten (10)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 Tile 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$78.00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed flip next business day. <br /> a <br /> CONFIRMEW APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INrnAL.S <br /> REVIEWED YES NO REVIEW DATE <br /> EN W 14 61MM <br />