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04/10/2006 15:07 FAX _ la 001/001 <br /> OAT=-Rec;EiveD S A!q d OAQULN COUNTY <br /> T?. <br /> ���' L� <br /> ISM li 'EvYIRO -MENL, E ,' i EP�,.RTNIEtiT <br /> 304 E Weber Ave 3`t Floor Stockton, CA 95205 <br /> (��g) 468-3420 Ind <br /> Fax: (209) 464-0138 Web: W)Vx,co.s=jr- <br /> oaquizi_ca.u " <br /> E�vV'lt ttl^1ei�iEivT HEW" <br /> gE} �,�IITISERViCES PUBLIC RECORDS RELEASE A.PPLICATIONT _ <br /> EjUSINES:dAGENCY: - <br /> �DR�ss: <br /> PHONE: <br /> TENTATIVE*APPOINTMENT DATE: <br /> (PleaSc atlgw 10 b—inaas day'.from dais of application submirat) <br /> CHECK DOX TO E PEDITE REQUEST•$93.00 PEz-REQUEST PR(?CcSSED iE�I 3 8US1N>=Sb DAYOATt; <br /> SIGNATURE OF APPLICANT peparvnentuse Only <br /> UNIT <br /> FILE ADDRESS <br /> L 7 ti r �t7h io Unit i <br /> Unit 2 1 /� <br /> del <br /> s. <br /> G a Unit 3 <br /> r r rJ <br /> unit 4 <br /> 7. q ILO E✓• . <br /> 0. &rr* C] Unit 5 <br /> i. s*r-f It Z.• a I <br /> ta. sem+ <br /> ENVIRCINMENTAI.HEALTH DEPARTMENT FILES <br /> t,7L sot_tU WASTE FACILITY <br /> iib UNDVRGROUNO TANK(UST)CLEANUP SITEQ FOOD FACILrrY,(LOP) O HOUSING AT�MENT 0 SOLID WASTE VEHICLE <br /> L$ OTHER CLEANUP SrTE(NON-LOP) IS-DAIRY <br /> Zl- UNDERGROUND TANK(MQNITORINGIREMWAL) 0 DOG KENNEL E..PKG TR ATM ENT PLANT <br /> IRT• KAZARDbiJS WASi7e GENERATOR 0 CHICKEN RANCH PUMPER T'RUCIV'KAROICHEM TOILETS <br /> © TIERED PERMrT'rED FAC0,17Y EI 0 M0T7=S1HMOTELMU LAND USL APPLICAT10K SITES <br /> 0 TATTOOn300Y PIERCING 0 POOLOTHCA <br /> aPEtsF —'� <br /> C7 MEDICAL WALTC FACILnY R((?LEASE <br /> 1_ List up to ten addresSe}in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At feast one file type N1US`f be sele=ts:d, F:sx to 20191 46't-0138 or r mail b -the <br /> address indicated above_ <br /> ant;f any E19t] files exiut. An appointment for review will be confirmed . <br /> 2, El-i0 will notify the applic <br /> approximately five business days Tial no ;atur than ten (IQ) day,,; after rec •i <br /> eipt of apptication. The f1-vs <br /> s days for review_ Appointments should be scheduled <br /> will be held for a maximum of five:busines <br /> accordingly. <br /> new <br /> 3, A File that is actively being worked on by EMf� staff may not bre immediately available for review. <br /> application may be submitted when the file is available. <br /> k. Any file not returned in the same condition as released will be rearganlZLd by EHD ataff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a S83.00 deposit prior to review. <br /> 5, -TF-NTATIVE appointment dateS must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will t>e processed the noxa business day_ <br /> .. ti <br /> D aPPOIMTM s� r. <br /> V. <br /> E T'QATE <br /> FitFlRt�ir;Q <br /> �r laes FAx <br /> YES Ila _REV IF-Y1 DAT �� <br />