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�_ � �vir �e6u1iZ1 <br /> 002:003 <br /> owtt fD x)11 n �. <br /> F 11`' JOIN COUNTYRUBLIC HEALTH SER FS eHD we awe <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APR 3 0 2003 304 FAST WE.SER AVENUE.THiRD FLOOR <br /> STOCKTON CA 95202 <br /> cNVlF3 tiMEiv1 HEALu �� (20)469-Mo I <br /> c ;U!IlSFpyIGF, t'UBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT_ BUSINESSIAGENCY <br /> ADDRESS 18:a- y� /✓`7�r,Llt S r <br /> PHONE FACSIMILE <br /> TENTATIVER APPOgNnMENT OATS 5/ / //�_3 Tie fir�©- <br /> (Please give'r to 10 business days from date of appl1=0mi submittal) . S <br /> 64-0 l� w <br /> CHECK BOX TO Expeo m REQuiEsT•Sti7.00 FEE-•RECIUEST PROCESSBD IN 3 BUSiNESS DAYS <br /> SIGNATURE OF APPLICANTDATE <br /> •�' ` <br /> T <br /> FILE ADMIZO 1S SIDE EFID S i AIF USE ONLY <br /> PROGIU M.WNEMS SEARCH <br /> /8 C r%+r OUL 731v <br /> /Q <br /> l <br /> iL O r t try lv <br /> �rs 1 Ov..-1 r C l ut, I✓ <br /> /YD evn4-r Gly /r Alz <br /> — f <br /> Ot+rt4-� <br /> R 7C OVn�-r Cl_ <br /> / !rte► <br /> '70 •+ C1_6 /v <br /> AJ <br /> 7�.$� COv►� V- CIvj I /vL tij <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> -20'UHDERGROUND TANK(UST)CLEANUP SiTE(LOP) 0 HOUSING ABATEMENT G �LID WAME FACILITY <br /> O71IF.tt CLEAwr SITZ=(NON-LOP) O FOOD FACILITY SOLID WASTE VrJ%CLE <br /> D TANK(MONITOtUNGIREMOVAL) D OOG KENNP.L C1 DAJ91' <br /> 0 HAZARDOW WASTE 091ERATOR O CHICKEN RANCH <br /> F 0 PKG TREATMENTTREATMENTPLANT <br /> O ATTOt7VBp0Y PEIRCWG�TM 0 MOTEMOTEL 13 PUmPaRTRucrjyARapCHEM Twins <br /> D MSDICAL WASTE FACILITY D u WATER SYSTEM r3 U,NDR USE APPUCAnoN an= <br /> (PLEA eSPECIFYABOvE) <br /> 1. List up to ten addresses in the space above. Select the <br /> the appropriate box(es). At(east one fife the of files from the list above by checking <br /> !t Indicated above . tYPo MUST be selected. �;4(2oo)464-0138 r Mail to the <br /> 2• EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximately five business days but no later 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 END staff may not be Immediately available for review. A ne+nr <br /> aPPlkation may be submitted when the the is available. <br /> 4• Any file not returned In the Swine condltlon as released will be reorganized-by END staff at the expenl <br /> 5• <br /> Of the applicank Future file reviews by the same applkant may require a$87.00 deposit prior to review. <br /> 'TENTATIVE appolntment dates must be confirmed with END staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE <br /> TiME <br /> DATE CONFIRMED <br /> PHONE FAX INITIALS <br /> YES NO REVIEW DATE / <br />