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TERRACON - RENO _'�:dX: �5-351=2423 ick� 4 2u�� ��+ �� �� <br /> 91/84/2002 14=35 454e131 ENVIRONMENTAL W-F PAGE~ 91 <br /> onr1 m'"co �J� <br /> SAN .�OAQUIN CDUNTYPUBLIC HEALTH SERVICES <br /> RUSH ENVIRONMENTAL HEALTH DIVISION, <br /> 344 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS REL ME APPLICATION <br /> X APPLICANT SA tr BUSINESSIAGENCY <br /> ADDRESS FLO IG L�FJ�7 P qR(CS V �!3 f <br /> PHONE M I- 2-Y 00 FACSIMILE <br /> TENTATIVE`APPOINTMENT PATI. Mo&)or'ijCl III v-r TIME <br /> (Please give 7 to ib puslness d fpftl date of applicallon S4hmltth!) <br /> �-z' Gtilr[ii�UOX TO t:x>PFDIT>�REQUEST-SMUGF�E-IZEQUtcST ROCESSF,D IN 3 DUSINE3`Z QAYS <br /> SIGNATURE OF APPLICANY n29---M DATE 1 a <br /> FILE ADDRESS TNl9 91Qt?ENR 8TAFP USS ARCH <br /> PROGRAM lLt3111ENTS SEARCH <br /> L. fZ4 A G <br /> (XO A'O C- <br /> .--R Ch 5.3�o z,la <br /> EwRoN MENTAL HEALTH DIVISION FRES <br /> LA'ZA <br /> S1YE(LOP) C HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> 1] FOOD FACIL[Tf13 SOLID WASTE VEHICLE <br /> E) boa ONNEL tj DAIRY <br /> NDHRGCR4UND TANK(kIt7NITORINGIR]?I41aVALy O CHtCitEN FeAf�QHdPKaTREgTAA1;NTPL1WYIi0fDt15 WASTE GENERATOR t3 MOTEUMO'TEL ❑ Pumpok TRUGWYARI)ICHEIN YOILETS <br /> 0 TIERED PERIAIMo FACILITY 0 POOUSPA Q LAND Us E APPLICAYION OrMS <br /> P TATT00IMMY P91aCING p PURUC WATER SYSIVU 0 OTHER(PLEASE SPECIFY ARM E) <br /> q Mfio1CAL WASTE FACILITY <br /> 1, List up to ten addre55e5 In the space above, .Select the type(s)of files from the list above by checking <br /> trw appropriate boxtes) ' At least Ong 1110 typo MUST be selected. Fax to 209 464-0'S3B o i to t <br /> indicated a v <br /> Z.. EHD vrill notify the applicant if any EHD files exist. An alppointment for review will be confirmed <br /> approximately five IausIness days but no later than ten(10)days after receipt of application. Ytte files <br /> will be held fora maximum of live business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively biflhg Worked on by>EHD stall may not be immediately available for review. Anew <br /> application maybe submitted when the file Is available. <br /> 4, Any file not returned in the same condition as released will be reorganirxd by EHl?staff at the expanse <br /> of the applicant. Future file reviews by the sameapplicant may require a 6813.00 deposit prior to review. <br /> 5. •TENTATI)Wi <br /> E appointor nt dates must be confirmed with EHD staff. <br /> s. Applications racalved after 3:00 pm will be processed the next business day. <br /> CONFIRMED AppOINTMEN7 DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YF-S Nb R12VII_W DATE _ <br />