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[i�ik Recerven <br />i ;USAN JOA��'iN COl1N7YPUBl.iC HEALTH SERV =-s <br />EI RONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD F-I~OOR <br />APR 0 3 2003 STOCKTON CA 95202 <br />(209) 46&.3420 <br />i_NVIRUNMEN i I',FRUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT <br />aUSINES$JAGENCY <br />,. <br />EHI] LOG HUMVER <br />ADDRE55 '4025-' `f i7f �I� ..� 9 (4 � <br />PHONY D I <br />FACSIMILE Z029._, <br />TENTATIVE* AP;'OINTMPNT DATE TIME SQ(' f1 <br />(Please piva 7 to 10 busineur days from date orappikatlon submitt:11) ~, <br />HECK BOX TO EXPEDIT a REQUEST • sakoo FPE — REQUEST PROCESSED IN 3 ID9SINESS RAYS } <br />SIGNATURE OF APPLICANT _ DATE = � <br />tNVIRONMENTAL HEALTH DIVISION FILES <br />UNDERGROUND TANK (US --I CLEANUP SITE {LOP} O HOUSING ABATEMENT Lt SOLID WASTE FACILITY <br />O OTHER CLEANUP SITE (NO 14 -LOP) ❑ FOOD FACILITY O SOLID WASTE VEHICLE <br />UNDERGROUND TANK (MOV{TORINIVREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br />Q HAZARDOUS WASTE GENERATOR a CHICKEN RANCH D PKG TREATMENTIPLANT <br />❑ TIERED PFRMITTED FACIL) rY ❑ MOTELfHOTEL 0 PUMPER. TRUCKfYAROtCHEM TOILETS <br />❑ TATI'OOIBODY PEIRCING ❑ POOIJSPA - O LAMP USE APPL1CA71ON 8TTE3 <br />0 MEDICAL WASTE FACILITY Q ❑ 071 -OFR (PLEASE 314-CIFY ABOVE) <br />1. List up to ten addresses in the space above. Select the type(S) of files frarn the list above by checking <br />the appropriate box(es). At least one file type MUST be selec.tlfd. Far to 209} 464-0138 or mail to the <br />addrem Indicated above. <br />2. y END will notify :he applicant if any EHD files exist. An appoily':ment for review will 6'e confirmed <br />approximately five business days but no later than ten (10) daps 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 EHD staff may not tray Immediately available <br />application may be submitted when the file is available. - if <br />4. Any file not rets irned In the same condition as released will be reorganized by EHD :;t` 15, t9i <br />of the appficanl. Future file reviews by the Same applicant may require a 589.00 de;i'usit prior to review. <br />5. -TENTATIVE aF pointment dates must be confirmed with EHCI ataff. <br />6. Applications re.eivdd after 3:00 pm will ba processed the ne;[': business clay_ <br />CONFIRMED APPOIN—MENT DATE <br />DATE CONFIRMED PHONE F,4,( IAIITIALS <br />REVIEWED YI.S NO REVIEW DATE <br />EH na - <br />04/03/03 THU 13,20 ITx/RX NO 96021 Q ooz <br />