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w <br /> � �qI b OkUIN COUNTYPUBLIC HEALTH (VICES <br /> i ENVIRON W <br /> ENVIRONMENTAL A HEALTH DIVISION APR 0 7 2003 304 EAST WEBER ON CA , 202 FLOORIR30 <br /> STOCKTON CA 95202 <br /> ENVIRONME� (200)4W3420 <br /> I�LSF � b—b' RECORDS RELEASE APPLICATION <br /> APPUCANT Y`yLA_Yv_.�(,-�5lJ�CS BUSINESSFrAOINCY w5, elzeen.f/70,;i�T ADDRESS C�.3)��_�rx Ji`; �� a�'7 0416 <br /> 4 VHONE 7 10 Ll FACSIMILE ��yy�� <br /> R 5 Sr1dn 45 60 �C TrJE �liw,;HSS <br /> TENTATIVE'APFDINTWENTDATE £s,d <br /> (PI""alve T io 70 6uslnee. ,Tem oat.of appacatlaD subml I)hpulna 5 X�e <br /> ❑ CHECK BOX TO F1:PEDnE RZOUEST-SH-00 FEE-RGOUEST PROCESSED IN 3 SUSWE33 DAYS <br /> SIGNATURE Olr APPLICANT DATE <br /> -- 5 SID SK HL ' <br /> _- FILE,ADDRESS PROGRAM SLEMEMM SEARCH <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 7 HOUSING ABATEMENT O SOUD WASTE FACILITY <br /> O UNDERGROUND TANK NSTI CLEANUP SFTE(LOP) O FOOD N GILrTY t7 aOUD WASTE VEHICLE <br /> ❑ OTHER ttEANUP SRE(NON-•CP) O FOO KENNEL 0 DAIRY <br /> O UNDER�ROUNDTANK(1uCNrrGRINGlReMOVAL) 0 000ON EL O PKG TREATMENT PLANT <br /> ..�' O HAZARDOUS wASTG GENUFATOR ❑ WICKFNmoraiHRAN ❑ PUNPERTRUCKrYARDICHEM TOILETS <br /> O TtEIIED PERMtRED FACILrr/ ❑ POOLISF � ❑ LAND USE APPLICATION SITES <br /> ❑ TATTOO/BODY POIRCINU G ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 0 MEDICAL WA.SrEPACILrry I. <br /> I. List up to ten oddr(sses In tho space above. SeleCt the types)of files from the list above <br /> mall tO ting <br /> the appropriate hox(es). At(east one file typo MUST be solootad. F <br /> addnla,T'I iw ��,.U3o1` 2. appointment <br /> 2. ppn xVl notify <br /> Ilre business days <br /> but any nollater than tun(10 days after recies OXIst- eipt Of applicati n. files <br /> will be h*ld for a,mkximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> be immediately available for review. Anew <br /> 3• A file that is actlyely being worked on by EHD staff may not <br /> appllcntion may be submitted when the fUe is available, reorganized by EHD staN at the expanse <br /> 4. Any filo not rotume•d in the same condition as roloxsadcewntl be may quUe a$89.00 deposit prior to review. <br /> of the applicant. Futuro file revlews by the same app <br /> 5_ *TENTATIVE ap;wlntment dates mut be be <br /> processed <br /> of aced the next tiff. as day. <br /> s. Appl:DaUonc rRceivsd niter 5:00 PTD <br /> I CONFIRMED APPOINTMENT DATE <br /> TIME. <br /> DATE CONFIRMED _ <br /> PHONE FAX INITIALS <br /> YES NO REVIEW DATE <br /> pro w+� <br /> £d WIJG0:05 :-OOE L0 'acid 'ON XUJ Woad <br />