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i_--_�-i_;'_i'-y 3:J_�.J�1•tll i-h:eui•i fi_i 1_,_.l-l ''_-1-','I'1`� f'.1�- <br /> E1SD LUei NlMh6EFe <br /> SAN ,i(..r3utN CoUPiTYPiiBLtG HEALTH s d� ,,,� <br /> ENVIRONMENTAL HEALTH DMSIOM� <br /> 344•EAST WEBER AVENUIi ,THIRD FLOOR ` k e.=, ia,,,, P <br /> STOCKTON CA DS202 , <br /> (209)463-3420 DEC 2 3 1999 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICAhTI J�Ike 'IS/1 JVI¢A/ e�SINESWAGEMY ��i ,t '' iVlL '' i ;�ALTH <br /> AWRESS 2 ,75 WWf!!�' Ti&—�,f�1 C_�, Ch !T506! 506 2� <br /> PHONE 31I�f7 FACSIMILE efV/ (7g^L7 <br /> TENTATX"E"APP0&Wre.0ENT DATE 2 W , Z= T' 10-M o�- <br /> (Please qmv L 7 W 10 busirmtFs days from daze:of applicaban submittal) <br /> CHECK BOK TO E(PEOITE REQUEST-S79-00 E-R_QIIEST PROCESSED IN 3 DU3INM DAYS <br /> SIGNATURE OF APPLICANT U4+ DATE 1�10' 4 <br /> FILE ADDRESS <br /> IJ 1 n <br /> 14 2- AM-AIA- '977 AMAIrEC-h <br /> 3L#a ,r.1 - V0 <br /> r O 0 <br /> v nl- Alfild s . Z <br /> �- <br /> ENVIROMMENTAL HEALTH DIVISION FILES <br /> Tia UNDERGROUND TANK(UST)CLEANUP S17M(LOP) Q HOUSING ADATEWNT 0 SOLID WASTE EACII-11Y <br /> 03 OTHER CLPJWUP SITE(NOW-LOP) ❑ FOOD FACILITY O SOLID WASTIw VEHICLE <br /> 19 UNDERGROUND TANK(MONITOR"GIRELIOVAL) Q DOGKItHN" M DAIRY <br /> F: HAZARDOUS INASTE GENERATOR 0 CHICIEN RANCH ❑ FKG TREATMENT PL^NY <br /> C3 TIERED PERMITTED FACILITY 13 MOTELIHOTEL ❑ PUMPER TRUCKtYARWCH9W TOILETS <br /> d TATTOOJBODY PEIRCtNG 0 POOL15PA O LAND USE APPLIOAT"SRES <br /> Q MEDICAL WASTE FACILITY q PUBLIC WATER SYSTEM CI OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ton addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At Ieast one ffie type MUST be seelec ed. F x�to(209)4 "138 or mail to the <br /> address indi�,���E;ove. <br /> 2 END will notify the applicant if any EHD files exist. An appointmoot for review will be confirmed <br /> approximately five business days but no later than ten(10)days after-receipt of appfeation. The files <br /> will be held for a maxin-aum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EMD staff may not be immediately available for review. A new <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 SM00 deposit prior to review_ <br /> 5, 'TENTATfVE appointment dates MU;9Z be confirmed with EHD staff. <br /> 6_ Applications received after 3-08 pm will be processed the next buainess day. <br /> ,9. '' _ a...: _ `� ,.re-' �" z �� � f":,•=" ,..@`d'x1J rpt.. � ''i4,?.:'.'. <br /> •.:fu� '•'2 " ^+r+-E� I i.r..rv, � A4c C" `¢'.l. 1� �} I'n}- y� •._._h .r. <br /> Mlgti3: r.-, Y .,.Y•:.;�.a�S;JFw:;.T,...' �y�`� il�l ��]�( ��,'�•�_i.75lM itt�f�'�il(:[I�a G�)�I,a* J', r1., f,n �ti .11:.;1�.,�. :Fath nl f <br /> :�V £!iA I;"Phr� b il= � }n ..•f..e�'�.r�•�yl�4�y yl\♦eta._}.l.f�'•D� E T3 IF MI' -•�":, ". <br /> VI�.�Y L��Z.r1:1.ll�Si.�..IJI;C..:�. �•4 �-1.. ...�-A/��f. �-� �.f .. . 'i" � - <br /> 6/3Ql99 <br /> TOTOL P.rf2 <br />