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x0/13/2002 23:37 17078�p7�73276 ANTON GEOLOGICAL PAGE 02/02 <br /> D9-41-<'W11 UV-4 -'"'LI L. -1 l u 1 ro rte-,ecru r.ell <br /> I JR <br /> 111 COUNTYPUBLIC HEALTH SEKVICGS <br /> ^■ ENVIRONMENTAL HEALTH DIVISION `;7 <br /> O� 304 EAST WCBE:R AVENUE,CA0520IRD FLOOR .f O� <br /> STOCICfON CA 9520?. IP <br /> (209) 468-34ZO <br /> I PUBLIP RECORDS RELEASE APPLICATIO <br /> „1 /7 f, <br /> r3A1 <br /> APPLICANT D�U51NES51AGENCY - r `� L� �_� 1'l IF-, _! <br /> 4oilNEss�D. QtaK ` ,5'qS Z OCT 1 A ?nn? <br /> 'HONE_ 707-$77- '3-Z7? ' _yy F.�,A.,,`�C/qSIIMMILL� 7u7- -7 7 -- 2 76 . <br /> TIENTATIVE'APPOINTMI-N7�OATt°(Lf,'J+ 6&iZ 17 rµ�Z A�ry�,�r'p���^•�n S <br /> TIME !bU/'r'CT`/IVIIT/SF{11/irES <br /> (Plcasv gl-e 7 to' in &*,A# d applim ' n iubmltWp <br /> CFI0CK BOX TO CXPEDITE RECIUE57 Tal C�5 Dus ESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE <br /> i <br /> FILE ADORE)SS "THIN$lea END STAF1=VJ"tf ONLY <br /> PROOKAM ELEMENTS 3CARCH <br /> 03 ' •f-a��.r�1 <br /> 2r 51 rrrR -rD�c,—� <br /> x O OLVA rYW &4G r N <br /> I <br /> i <br /> I <br /> i <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UN D EiRGROUNO TAN (UST)CLEANUP$ITE(LOP) O HOUSING ABATEMENT ❑ SOLID WASTE FACIUYY <br /> OTH4 =UXO CLEANUP 511'Q(NON•LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UND GROUND TANK(MONIYORING)REMOVAL) ❑ DOG KENNET. ❑ DAIRY <br /> OOVS WASTE GENERATOR O'CHICKEN RANCH 0 PKG TREATMENT PLANY <br /> TIERED PPKMITT40 PhCIUTY ❑ tA0TEUHbT11L ❑ PUMPER TRUOK/YARD/CHEMT00.ETS <br /> TA77QOIBODY PWItCING 0 POOUSPA t7 I-nNe VSE APP)JCATION SRL-8 <br /> 7 MEDICAL WASTE FAC!1LITY D PUBLIC WATCR SYSYCM 0 OTHER ip"sE 5PEOIFY ADOVE) <br /> 1. Llet up 1:0 ten addresses in ilio spac0 above. S01OCt the typos) Of files from the list above by Chockin0 <br /> the appropriate bOX(eS); lid least One fila type MUST be selected. Fax to (209) 464-0138 or mail ttR the <br /> address indicated 'tboV . <br /> EHD will notify(he applicant if any EHD files exist. An appointment for review will be confirmed <br /> i approximately five businssa days but n0 later than ten (10) days after recoipt of application. -The tilos <br /> i will be held for a maxlmurn of five business days for review. Appointments should be scheduled <br /> I accordingly, <br /> 7. A filo that IN aOtively being;worked on by EHO staff may not be immediately available for review_ A now <br /> I application play be Subritit;ed when the filo 15 available. <br /> I. " Any (Ile no(!returne4 in the same condition as roleascd will be reorganized by EHD riW/(at[Ao oxponso <br /> Of the apptieanc. Futuro file reviews by tho same applicant may raquiro a 447.00 deposit prior to raviaw. <br /> i- 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> Applications received after 3:00 pm will be processed the next business day. <br /> :-QNFIj'RMED APPOINTMENT DATE TIME <br /> SATE CbNFIKMED <br /> i PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW nATR <br /> N MIM <br /> TOTFL P.01 <br /> s <br />