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i :. +«:i-actiSnpy `.�- •. - Gia IVY:l�alfCK <br /> $AN JI r"WN COUNTYPUSLIC HEALTH SERVW' 3 <br /> eft 0 7 2003 If2ONMENTAL HEALTH DIVISION �= <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> -0 lki?'1 J�Fi`,;"{ t" LALTH STOCKTON CR 95202 <br /> I ., E rti Gfi S .;(209)466.34ZO <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUrANT_ r% L( �^8US.1NE 1AGENCY &(-OMMA - J"o <br /> ADCREs.^,w� �Iy�G 1..I _ 4� C- C'ASaa '� ? <br /> Q <br /> 'rENTATIVI---'APPJ;WM.M,T OA7=_ -nma <br /> (Plo^.::r+Mvo i to 13 k)uaintas clays frmm date ol apr7fiw:ion submiha{y .j <br /> CrrCK[?•DX T{i F'�'�"r'G:Ll;ic �IcCt:SEs�•ST8,C0 FG.-R:CUEuT?RODE::$Ga 1N i 8U&IhIESS DAYS `� <br /> ;;it iNATIJR=Or AF'F'LICA?!T C,:.f �^�" �_ `" DATE •� [�}� <br /> FI:.�ACOFi�SS THIS SIDE END STAFF uSE QNLY <br /> PROGRi"ELENISNTS IS ARCH �- <br /> iTF I <br /> f) /+I Zc,rue 1, 3 O <br /> 5 <br /> L <br /> ENVIRONMENTAL 14RALTH DIVtSIQN FILES <br /> r VNDEAGROLIN3`FAtac.fLaT) :;LEAAUI'ZI7r;(LOP) M HOUSINQ AaA1E',:E4T CI SOL'.0 WASTE FACILITY' <br /> o7ms.ei(;L:�i1P Srrz:ti:vt.•..O?) .0 FDaC FACILITY +: SO' WAS-.'F-VEHICLE <br /> T UtiD»i RO-JR0 TANKN0141 tOk.WailtUOVAL) 0 001:3 KENNEL G 2AIRY <br /> f IIAZA,RDOIJS WAaTF:al',1 P-R.k7OR G CHICKER KANCH .!7 PK3 TftEAT.VeN'.P"LANT, <br /> VERED ne IiT7cD.'-.0.0-1I; G MOTEL'HMEL C PUMPER TRVCKJfAFW1GREMTQXLETS <br /> TATTOOSOnY PERCINC U POCLrsPA ZI LAND VVE APPLICATION S= <br /> MEDICAL WASTE FACI_1TY PV13LIC JIIATeR 5 YSTEM -u OTHER(PLEASE SPZCIFY ABOVE) <br /> 1. List up to um adcress.s In`.he space above, $elect t;ze typ.(s)of Mas from the list above by checking <br /> the appropriate A.Inast one fele type MUST be seiected. Fax to U091 ._. -b95a or m;01�o the <br /> �4'dress Int ic;ate'.abovF <br /> 2. EiiD wi i Asatit.rr the ap,A giant if any EHD fi'os exist. Art apcaintrnent for review will be confirmad <br /> 2F1proxi.nat-2I,fi%,e bui;inass days but na later than ton(10)days after receipt of application. The"lies <br /> will be held for a ataxlmum of five b;.Slness days for review. Appointments should be scheduled i <br /> accordingly. <br /> :3. A file that JS activ,-iy being worked on by FRO rta`f may not be Irimediately aynilable,fnr review, A new <br /> application may I:c submitted when the file Is 2valldb a. <br /> A- Anyfl!e nct returl,ed in tht sarne Canditiot5 a$released will be reorganized 5y EMD staff atthe expense <br /> of the a pplirant, i-uture file reviews by th4 same applicant may require a$18.00 deposit prior to review. <br /> "TENTATIVE appointment dates must be ooafirmed%Kith EI-IO staff. <br /> 8. Applicatlor:s received after 3:00 pm win be processes the next business day. <br /> CON, IRMED APPOINTMENT DATE. TIME <br /> OIirE CONFIRMED - .�� PHONE :FAX INITIALS. <br /> EtE.VFEWEr) YES NO RI VIEW DATE <br /> T0TkI- Fl.01� <br /> t <br /> Td WUSO:b0 £E)OF LO ';of £886 8£8 60Z 'ON°ENDHd s T S.R I rUU cant punoao f` <br /> r <br />