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Mar-02-00 10: 48A Youn"- da 'l cc3nsu 1-ting L;rp 1 9.1a <br /> QOA �U' +IMEaLHLQ N " s RO EaHEALTH <br /> H VIsrSF-R" <br /> - <br /> 304 FAST WEBER AVENUE,-THIRD FLOOR 00/062 <br /> STQCKTON CA 95202 <br /> (209)4b8-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> "PUCANT Za urf e s ra E / <br /> Btl3INF6wAGENGY �) OQ/J/ tlJr ALL 1 <br /> ApDRI ss 1�3�f �enha c.'es� l fora .O 'r`fs`�Jrs�/ � i 9s76z <br /> PHONFACSIMILE <br /> TENTATIWI ff APPpfNTMENT DATE MQ 1 C'A S' TIME <br /> th <br /> (Please sive 7 to 10 business days from date of application subm;gaE) <br /> 4ECK 80X TO EXPEOrFE REQVE5 Oa FEE-REQUEST ESSED IN 3 BIISINM DAYS <br /> SIGNATURE OF APPLICANT - DATE <br /> i <br /> FILE ADaREss <br /> aC;-cr lne" ,a L ! rAvsr- <br /> zlzd IQ f-rV r' vs/f <br /> 40 W. 40d; V wa .' c:¢ 95x2 rrST <br /> Sop i e CA 45A2 Lir <br /> EEEE <br /> ENVIRONMENTAL HEALTH D(V1510N FILES <br /> tROJERW <br /> NDERGROUNDTANK(OST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT Q SOLJO WASTE FAC]LTTY <br /> Tx8R CLEANUP SITE(NON-LOP) 0 FOOO FAC11MY M $OLIDWASTE VIDiICL.E <br /> NDERGROUND TANK(MOAtITOR]NG/HEMOVAL) CT DOG KENNEL 1D DAIRY <br /> AZARDOUS WASTH GENERATOR Cl C14ICKIE N RANCH 0 PKG TREATMENT PLANT <br /> PgRkITTED FACILITY 17 mOTELIHOTEL 0 PLUMPER TRUCK/YARjNC14EIR TOILETS <br /> 0 TATT001BODYpEIRCINO d POQ)1SPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY C] PV13LIC WATER 3YSTCM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> I <br /> 7. List up to telt addresses in the space above. Select the type(s)of fIIeS from the list above by chocking <br /> the appropriate box(es). At least one file type MUST be selected. Fax W12092 454&138-Qr mail to the <br /> Aadraza in4icAgdb ; <br /> L IND will notify the applicant if arty EHD file* exist An appointment for review will be confirmed <br /> approximately five business dal but no later than ten(10)days after receipt of applicaboirL The files <br /> will'be hold for a maximum of fine business days for review. Appointments should be scheduled <br /> - accordingly. <br /> 3. A file that is actively being worked on by EHO staff may not be immediately available for review. A neer <br /> application may be 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 require a$78.00 deposit prior to review. <br /> 5- '•FENTAI IVE appointment dates must be confirmsd with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business clay. <br /> CONFIRMED APPOINTMEN-r DATE TIME <br /> DATE CONFIRMED P40N1E FAX INITIALS i <br /> REVIEWED ICES NO REVIFiN DA<c E <br /> i <br /> TOTtil- ?.02 <br />