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Elia Lhv WLIP.Ali.ii <br /> :enr o i 1 <br /> EESPUBLIG HEALTH SEW COUNTYSAN JDA <br /> ENVIRONMENTAL HF-ALT DIVISION <br /> O L.r 2 j I 04 EAST WEBER AVE=NUE,THIRD FLOOR <br /> STOCKI"ON CA 952 2 6J 2— <br /> (209)4138-3420 <br /> EAS APPLICATION <br /> PUBLIC RECORDS I�EL <br /> APPLICANT%„ A, <br /> r -. B[f51NES51AGENCY /yam <br /> RIA, <br /> ADDRESS <br /> PHONE �` r / � /FACSIMILE f <br /> TENTATIVE'APPOIitiTMF:N r CIATE f 'J if TIME / a <br /> tPlease olve 7 to 10 bueWass days from date f application submittal) <br /> 6mll r-5 31 14 <br /> CHECK BOX TO EXPEDITE REQUEST-sar.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS // <br /> SIGNATURE OF APPLICANT DATE „ lel-2 <br /> FILE ADDRESS PROGRAM <br /> Slt)E EHO STAFF'USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> • 5 c.tiJ•. . Kei`f� L �� .• etc L �L_ <br /> ENVIRONMENTAL HFALT14 IYISION FILES <br /> rUNDERGROUND TANK(USTI CLEANUP SITE(LOP) la HOUSING ABATE LNT 0 soup WASTE FACILITY <br /> oTHP-R CLEANUP SITE(NON-LOP) ❑ FOOD)FACILITY 0 SOLID WASTE VEHICLE <br /> uNDERC RQUND TA71K(moNITUFUNGIREMOVAL) 0 DOG KENNEL O DAIRY <br /> HAZARDOUS 11Y{ TE GEFIERArgR 0 CHIOMN RANG14 � pKG TREATMENT FLANT <br /> HAZAR pERkiiTrED FACILITY 17 MOTEUHOTEL „ 0 PUMPER TRUCKIYARDICHEM TOILETS <br /> 13 C7 iERI OEODY PED FACTGING n'POOLfSPA CI LAND USE APPLICATION SITES <br /> C3 13EtTOO WASTE FACILITY CI PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE <br /> 1. List up to ten addresses in the space above. Select t a type(*)of files from the list above by checking <br /> the appropriate box(es), At least one file type MUST a selected. Fa t 209 48 -0138 ur mail to <br /> address Indiggleg above. <br /> 21 EHD will notify the applicant if any i=liD files exist. All appointment fur review will be confirmed <br /> approximately five business days but no later than to (10) days after recelpt of application. The Files <br /> will be held for a maximum of five business days for view. Appointments should be scheduled <br /> accq rd i ngty. <br /> 3. A file that Is actively being worked on by EHD staff-may not be immediately available for review. Anew <br /> appllcatinn may be submitted when the file IS avaiiab 6a <br /> 4. Any file not returned In the same condition as releas will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same app icant may require a$87.00 deposit prior to reviOW. <br /> 5. <br /> *TENTATIVE appointrnent dates must be confirmed v"th EHD staff. <br /> Ig, Applications received after 3:00 pm wnt be processe the next business day. <br /> FDATrFIRMED APPOINTMENT DATE <br /> TIME <br /> CONFIRMEd PHONE FAX INITIALS �! <br /> REVIEWED YES NO REVIEWDATE _ - <br /> &I Sfi 14 08fY7j04 <br /> a <br />