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• a>,a LOG gO116EH <br /> y n1 CE14,00-PAQUIN COUNTYPUSL(C HEALTH `..VICES <br /> i304EASNMENTAI.VENUE,THDIVLO 1. a3l <br /> 364 FJI$Y WEBER AVENUE,THIRD FLODR � <br /> APR 0 7 2003 STOCKTON CA 95202 <br /> (209)463-6460 <br /> ENVIRONMENT I}{f,QWC RECORDS RELEASE APPLICATION <br /> � <br /> /APPLICANT ! '•. e( LFBUSINES$(AOENCY uQ5 (-�fpAtx.Ifm:T <br /> ORES$ \6»0 /,/ '/ <br /> J��/7�-PHONE, i� 77i/'i' dao FACSIMILE (50.)e6 /-32C$ AWA: )0P /,�/0 <br /> " rJ4n r�1 <br /> TENTATIVE'APFOfNTUENTDAn 4550Cn A5 P�l+16�1 <br /> TWE44 me T:nom A5 'hinGMhOe res 5 <br /> (➢Icaes al»7lv 10 Euslnegs d yo flan Cate of appeeatlan submatal) r-w�lw �L 03 -1 <br /> CHECK BOX T(>EXPCOr[E REQUEST•Sa9.00 FEE-REQU <br /> EST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE W APPLICANT NA 4+ A[ArA Ptl'e r _ <br /> FILE ADDRESS S SIDE ENDSTAFF USE ONLY <br /> ' PUOGRAU ELEMENTS SEARCH <br /> t _ IF N iL <br /> ENVIRONMENTAL HEALTH DMSION FILES <br /> CI UNDFRGROUHO't"K N3T)CUZXNUP SITE(LOP) HOUSING <br /> Ail EM O SOLID WASTE FACILITY <br /> So OTNLR CLEA>nIP StrE(NON W) O FOOD FACILITY 60LID WA6TE VEHICLE <br /> UNDER00.0UN0 T/UIK(MONITDLMGfp"CrVAL) 0 D06 KENNEL D DAIRY <br /> 4 0 HAZARDOUSAVE GENERATOR ❑ CHICKEN RANCH � PKG TREATMENT PLANT <br /> W <br /> o TIMtED PERMn M-0 FAClllft ❑ MOTELMTEL ❑ PUMPER TRUCKlYARD/QHEN 701LETs <br /> a 7ATTooBODY PURGING O POOL)SPA 0 LAND USE APPLICATION SITES <br /> G MEDICAL WASTE FACILITY G ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> t. List up ti>ten adctresses in the space above. Select the typa(s)of Gies from the t a ovoe by II to checking 9 <br /> the appn2priata boxJes). At least one file type MUST be selected. — <br /> 2, EHD vvirl notify the applicant H any EHD files exist_ An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days atter raceipt of ap uld best on. The files <br /> will the hold for a my0dmum of five business days for review. Appointments rho <br /> be The <br /> accordingly. Y late) available far review. Anew <br /> 3, Afile that is actively being worked on EHO staff may not be irmned Y <br /> application may ba submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may requiro a$69.00 deposit prior to review. <br /> 5_ `TENTATIVE appointment dates must be confirmod with EHD staff. <br /> G. ApPHCZNons rec4iv,td aftar 3:00 pm will be processed the next business day. <br /> CONNUED APPOINTMEtfT DATE TIME <br /> 1 DATE CONFIR4IL"D PHONE FAX INITIALS <br /> REVIEWED YES NO <br /> REVIEW DATE <br /> erm <br /> Ed WH60:OT 200Z L0 'idy = 'ON X1:7d WOiy-:i <br />