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178/05/2003 14'41 17078773276 ANTON GEOLOGICAL PAGE 02/02 <br /> n�-n•e-e�r�i ei7•G�I•f•I rr:Ul'I ILl 1'r0iEri'lG P.431 <br /> '� un.,.•,..l.m.n.�d, <br /> SAN J0;4Gt IN COUNTYPUBLIC HEALTH SERVICES <br /> - ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST <br /> a WEBER AVENUE,THIRD FLOOR <br /> STOC!(TON CA 65202 <br /> AUG '0 ZOO) (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION_ <br /> IaPfiCtC' � � _til N'1� A <br /> t.+;:._ 6USINESS(AGENCY fk{^firiY!��+�t�tf!L7 O: <br /> ADORE56 I ..� <br /> PHONE ! Y� ( •• ^�jr-'�� FACSIMILL•' <br /> j TENTATIV['gaPOINTMCNY:ogTE NyT;�f� , <br /> YIMCi <br /> Z P. M. <br /> pI/_ (Pl�aso_p:ee 7 l0 70 business Uays rYom Oote of OPpllealion.aW»ittall <br /> CN�CK BOX TO,CXPEbITE RFQU85T� '-RE OCCSSED IN J OU51HESS DAYS <br /> IGNAYURE OF I.PPLICANT <br /> - DATE <br /> ; -- _ <br /> FILL ADDRC$S THIS SIDE CHo sTAFF U5U ONLY <br /> PROGRAM ELLMENTS al•ARCH <br /> ✓F S 7 r I t7 tic M <br /> 9 v ?tvr= S v— kLt z cls <br /> _1LtYL <br /> i <br /> e <br /> JENVIRONMENTAL HEALTH DIVISION FILES <br /> >IUNDCIRGROUND TANK(UST)CLEANUP 917E(LOP)�10VSING ADATEMENT IMLS0LID WASTE FACILITY <br /> k.OTHEjL CLEANUP StT,g(NON-LDP) P�OOD FACILITY C-K 5OUD WASTE VEHICLE <br /> �.l1ND ;GROUND TANK(MONITORINGIREMOVAL) &VDOG KENNEL DAIRY <br /> 1W DOUS WASTE G$NCRATOR CHICKEN RANCH PKC TREATMENT PLANT <br /> �t-TATT)ICRII BODY 7);D FYACILITY rAOTCUHUTLL PUMPER TRUCWYARD/CHEM TOILETS <br /> IMRDJ:AL WAY a ACI LI !�.PdOUSPA ,ANO USF APPLICATION a1TCs <br /> AIHDIQAL WASYL FACILITY _ �PUDUC WATCR SYS,THM OTHER(PLEASE dPECIFY ADOVC) <br /> List up tp ten addresses in the space above. Select the types) of files from the list above by checking <br /> tlic appropriate box(cs). At least One file type MUST be selected, Fax to (209) 464-0138 or mail toIho <br /> ! ar dress inUlcated above <br /> END will notify the applicant if any EHD files exist. An appointment for review Will be confirmed <br /> approximately fIYL business days but no later than ton (10) days atter receipt of application. The files <br /> will be held fora maximum Of five business days for review. Appointments should be scheduled <br /> I accordingly. <br /> A file that is actively being,worked on by EHD staff may noR be immediately available for review. A new <br /> application Ynoy be submitted when th¢filo Is available. <br /> i Any Me not returned in the samo conditioll as released will be rocegan{1ad by EMD staff at the oxponso <br /> of the applicant. FuELre ttlp reviews by the aamo applicant may roqu!ro a$87.00 deposit prior to review. <br /> TEA(TATIVE appointment dat¢s must be confirmed with EHD staff. <br /> Applications received after 3:00 Pm Will be processed the, next business day. <br /> I <br /> f <br /> ,ONFIIRMED APPOINTMENT PATE <br /> TIME <br /> ATE CONFIRMED PHONI; FAx <br /> ! INITIALS <br /> [YfEYt(ED YES <br /> NO. REVIEW nATF <br /> �S 4;Cf3 O TOTFIL P.OI ,y <br />