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10/13/2002 23.37 17078773276 ANTON CZOLOGICAL PAGE 02/02 <br /> @9-F94-moi ��a SHf i u i ra rrrrlx ro r.lei <br /> 1 COUNTYPUBLIC HEALTH ir'SERVICCS <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIP RECORDS RELEASE APPLICATIO <br /> APPUC)ff• ' E11 A r" <br /> ss BUSINOSS(AGENCY '- r ' <br /> �Daixl:slt .©. at;X 376 d4 qys z • 4 11 <br /> PACSIMILa <br /> Hlu,, <br /> TENTATIVE'"pO1NTMENY•OATLO_ t 1 2 l�, 7.�Z TIME ;dU/ MIT/SERVICES <br /> (Please q:vc 7 co da yAVttoa yubmltta <br /> 1 <br /> CM CK BOX 70•L�xlst:DME REQUEST=$4 $ iiUS t s5 DAYS <br /> 31GNAURE OF APP LICANT OATC �O /0-2. <br /> 1 <br /> ... FILL?ADDRE,ISS THIS$Wd i:HD STAFF VSti 4141 Y <br /> PKOGKAM ELEMENTS 3 ARCH <br /> Q t <br /> • f/,s 1 .r..D <br /> zv <br /> ! r° <br /> ENVIRONMENTAL.MEALTH DIVISION FILES <br /> UNOWGROMMU TANK(UST)CLFANNP 91TL(Lop) O HORSING ABATEIYIFENT Q SOud WASTE FAGLI111 <br /> OTM CLEANUP SITS(NON-I.OP) Cl FOOD FACILITY Q SOUD WASTE VENxLe <br /> UND GROUND TAMILS(MONITORtNGmEtoovAL) O DVG KLNNEL O DAIRY <br /> Otl.i' Y1fAi'1 @ N6RATOR O'CHICKEN IUMCF( O pKG TRF.ATMBrIY PLANT <br /> Tlti JIItRIMrrTQO rIaCILrrY D MOTEL'?1bTL'L O PUMPER TRUClVI(ARDICIigU TOILETS <br /> 3 7nT1' ODY PWKCIFt6 G Pd0U3PA - b [.AND R58 APPt NATION 317115 <br /> 7 MHDI t.wJ11,�1' FAC)tl.l iY D PUBLIC WATER SYU914 D MIM(pi-"SE 4FEC PY^DOVE) <br /> 1 • r j <br /> t. List up tO ten addresses 10 the space above. Satect the type(s)of files from the list above by checidnq <br /> the approp. ate box(es); At least one file typo MUST be selected. Fax to(20�4(4.p138 or mail to,�II <br /> i r i c tt slabove. <br /> M will n tify the applicant If any I;HD filos exist. An appointment for review will be confirmed <br /> epproxdmately five businsils,days but no later than tan(10) days niter receipt of application.•The(jigs - <br /> r will be heid•for a tnaximuit of rive business days for review. Appointments should be scheduled <br /> accordingly. <br /> �• A filo that is actively boin worked on by EHO staff ntaly not be immediately avallablo for <br /> application jrlay be aubmiellad when the filo Is available. r�eviow_ Anew <br /> i. Any fiie'not'rotutnoc) in the 32fne condition as rgloaasd will bo reorOan1jud by END staff at the exponso <br /> of the APPIleant•• Future file reviews by the Same applicant may requlre a$87.00 deposit prior to rgvlow, <br /> 'TENTATIV6 appolnimont idatos must be confamad with twHD staff. <br /> >: Applications received aftef 3:00 pit will be processed the next business day. <br /> i <br /> �ONIkOPIRMED ED APPOINTMENT DATE ' Tim <br /> RTE , PHONl± FAX INITIALS <br /> 2EV9JzVf Ep REVIEW n47R <br /> YES <br /> TOTAL P.61 <br />