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63--II-03 09:02am From-ENVIRON EIF °VILLE 5106559517 T-500 P.02/02 F-391 <br /> _. E � 1 ` E5ANJUTALTHAN JICESUENVIRONMENTAL HEALTH <br /> MAR 1 1 2003 304 EAST WESER AVENUE,THIRD FLOOR O <br /> STOCKTON CA 95202 I I o <br /> ENVIRONMENT HEALTH (209)463-3420 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:.-�n L-CfWe 0USINF.SS(AGENCYT—:�1-y �2otJ -Cc�� t�d✓�_ <br /> ADDRESS Sk'1 ,1`yv�C52AY1G� '. / � e.�lu�(i��e, C-h1 q(i(;LST. <br /> HONE��1O� �a� J� FACSIMILETENTATIVE'APPOINTMENT APPOINTMENT DATE TIME <br /> (Please give 7 to 1 a bus Imss days from dale of applicatlon submittal) <br /> CHECK BOX TO EXPEDITE REQUEST•909,00 FEE-REQUEST PROCESSED IN 313USINESS DAYS un <br /> I ' <br /> SIGNATURE OF APPLICANT DATE: _ <br /> THIS SIDE No 9TiY5USE ONLY <br /> FILE ADDRESS PROGRAM ELE10:14.3 SEARCH <br /> 30 ter FYI 1JavcCle d,SYtc k 5 2i a --- <br /> ,� <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 4JIJNDERGROUND TANK(UST]CLEANUP SITE(LOP) Cl HOUSING ABATEMENT �i50411a WASTE FACILITY <br /> H�'��HER CLEANUP SITE(NON-LCP) ❑ FOOD FACILITY ❑ $01.117 WA.57E.VEHICLE <br /> ZZOERGROUNO TANK(MONrTORINGIREMOVAL) r7 DOO KENNEL ❑ DAIIYY <br /> Ig•-fT�SAR00us WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG T=R TRU 3rIT PLANT <br /> m/tIERED PERMITTED FACILITY ❑ MOTWHOTEI O PUMPER TRHCI IYARDICHEiM TOILFiTS <br /> ❑ TATTOOINODY PEIRCINO p POousPA 0 LANG USE Al'PI•IcAiloNSPECIF SEES <br /> ❑ MEDICAL WASTE FACILITY ❑ Q O7Fn9R(pLEh31i SPECIFY ABOVE) <br /> 1. List up to ten addresses In the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Faxto 2091 4G4A13E ur foal!Ro the <br /> addross indicated above. <br /> 2. EHD wil( notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The Files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is activeiy being worked on by EHD staff may not be immediately available for review. Anew <br /> application may be submitted when the fiie Is available. <br /> 4. Any file not returned In the same condition as released will be reorganizer) by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$89.o0i d,aposit prlDr to mvieW. <br /> 13. <br /> *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applicatlons received after 3:00 pm will be processed the next business day_ <br /> Past-IY Fax Note 7677 °i'r3 Ip L7j-P SaaR i <br /> 7 <br /> CONFIRMEDAPPOINTMENTDATE Tn D 1.p from <br /> � >u lehery) <br /> BATE CONFIRMED PHP 0oXa <br /> Phone M <br /> RMEMD YES NO <br />