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Ff U i Uroundl lerc 1=r�a1 ysi sF'f i�il Jf= l moi. = �k�J s� ;i3 1-181j- <br /> SA » �,:, <br /> E J un,:fya;lca <br /> ! y <br /> DAQUINi COUNTYPUBLIG HEALTH 5ERVICES <br /> ENVIRONMENTAL HEALTH DIVISION / <br /> 304 EAST WEBER AVENiJE,TMRD FLOOR <br /> STMKTOH CA 95202- <br /> '(209) <br /> 5202'{2179}460~3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> a�Put:a I,n o l—k�'Q- aosaN�ssra��racrct s zc-a � E S Ivy_ <br /> APP >RESS _._x._71 .=[ IGu` s _r•_e ,_s_c_AZ G CA <br /> p1joule -2 <br /> TMTA'nVE".wP0iwrmFNroATE t a��� (-nmiz <br /> {P78at-9ivv 7 Loo[110 busi./omi <br /> dlys lrvmdaccc gr;sp 2ficauai <br /> j ukRmRwQ <br /> 71 QIEECK BOX TO EXPa0 E REQUEST-578.00 FPE zEQUI5GT P�/E53ED IN 3 BUSINESS DAYS � <br /> SIGNATURE OF APPLICANT DATE <br /> FILK A00RESS T1413 530F ERP&TAFT USQ ONLY <br /> Pr10GRAGd EL�1�?t'I$ti1rARC71 <br /> [goo U <br /> L2.2 F:10r <br /> •- �1 .Tri D 35 �+ W # <br /> . I <br /> ENVIRONMENTAL KF-AI.TH biVISION FILES <br /> UNDERGROUND TANK JUST]ClE, ANUP 3r:F(LOP) 0 HOUSI MG ACATEUENT 5OL70 WASTE FArALrry <br /> OTHER CLeANU?511'=pori-LOp) 0 FOOD FA,CILtYY % 60LID WA,&TE VEHICLE <br /> 1JN'P5GR0JNDTANK,tA0Nrr0R!1AGJFF90VAL) Q OOGKEMNP-_. ►—}. UAIRY <br /> HAZARDOUS WASTE GEHEeOATOR 0 C3iIC MM RANCH a PXG YrLeA'rRtENT PLANT <br /> TIEFE13!?E1h1.71E0 7AC1LITY 0 NIOTELMCrr_L 0 Pt;h:PZR TMCK YARi71bKF-M TOTS <br /> C TATTOO-TOLY PC;KC1H5 O POOL4PA = LAND USE APPLICATION SrrEs <br /> KEDICAL wYAST£rAr.LiTY F+{ umc 14ATeRsysmJl j�l OTHZR(PLEASE SPECIFY Aaovj� <br /> 7. List up to ten jaddressc3 in the agate above. Select she typo(z)of Files fmm the fist above by cttecklng <br /> the aopropriate b-CX(es). At least ane Kle type MUST be selected. Fax to G4 or matt to the <br /> ajldr iE(RdiCatEd above- <br /> EMD Krill notify the applicant if any Ela©files exist. An appo,rRtment for review vrill be Conflrmed <br /> approxim2tON'five business days but no later than ten I7 0)d2ys after receipt of application. U0 files. <br /> wiO ba held for a maximum of five riwslr~ess days for raVFaw. Appoir-Rents should be scheduled <br /> accordis79ly. <br /> Attie that is at-ovaljl boing w0i'l(Qd on by END ste#f may not be ir:1mdIath-jy available for review. Anew <br /> a0lication may be oubmitted when the file is available, <br /> 4. Any file not returned In th8 Same carrditipq as teleased W11i be reargartized by 1rmD=&atule ex rise <br /> of 1:1e epplicarit Future file raviowe by the same applicant ma•re uire a$78,()o ee - - <br /> � q paslf prior to rev�ew. <br /> 5. `TENTATIVE appointment dittos mu3t be o0afirmed with,�D std,. <br /> 6. Applications rLmah od after 3,04 prrl wilt be processed the nexf business day. <br /> 3 <br /> j CONFIRMED APF? 31f+17'1AF-NT OATS _ TIME i <br /> DAVE CONFIRMED _ _ -- - —.f__-- PHONE FAX INITIALS <br /> LS <br /> i Vt WSD YES HO REVIEW DATE <br /> TOTAL P.01 <br /> r <br />