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°'SEP.25.2002L1;12:46PM06'4a•PPCADIS GERAGHTY&MILLER/JSP[R"F_W L 4—ALTH NO.277 P;lrv/%41-' 02 <br /> DATE PJXXWW <br /> SA14-30AQUI COUNTYPUBLIC HEALTH SEFtVICE�j <br /> HL NMENTAL HEALTH DIVISION ..�'"'" <br /> Ol <br /> rs <br /> WEBER AVENUEv THI RSTOCKTON CA95202 ��t «�,II�ICD <br /> (209)46$-3420 �; � <br /> PUBLIC RECORDS RELEASE APPLICATION 2 5200Z <br /> APPuwq AA- Vcsca H— BUSINESSIAQENCY L TH <br /> A*PRESS_-_/o S-6 A4A*-tiu, (,J PERMIT/SERVICES <br /> PHONE��'lo 2.33-3?xaU PACSIMIIm s7o .2.i:3 <br /> 'TENTATIVE•.APPoMJTi L <br /> rNT DATE O T!>+AE <br /> (Pissse grw 7 ro d q mesa f t.vi Ileetlon sWminai) <br /> NA, 1 SIM <br /> � REQUEST- - QUEST PFt ES�ED 1 913USINE53DAYS <br /> SIGNATURE OF APPLICAN DATE <br /> FILE ADDRESS THIS SIDe END STAFF USr:ONLY ' <br /> PROGRAM ELEMENTS SEARCH <br /> Rcle) <br /> U ItU Lt LI <br /> 11,2 t� LIL. L, <br /> t L% u• L, <br /> C> k r, <br /> L, <br /> c=,E'i X10A -25-v2- <br /> NVIRONMENTAL HEA)_TH DIVISION FILES <br /> F <br /> L7ERGROUNO TANK(US'1)CLEANUP SITE(LOP) O HOUSING ABATEMENT C SOLID WASTE FACILITY <br /> HER CLEANUP SITE(NON-LAP) 13 POOP FACILITY A SOLIDWASTE VEHICLA <br /> AERGROUND TANK(M ONrMRI N GIRIEM OVAL) 0 DOG KENNEL O DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR 4 CHICKEN RANCH V PKO TREATMENT PLANT • „ <br /> 0 71EREP PERMITTED FACILITY C NO•TEUROTEL ❑ PUMPER TRUCWYAROICHEM TOILETS <br /> ❑ TATTOO)BODY PEIRCINQ A POOLISPA 0 LAND USE APPLICATION SrMS <br /> la MfrDICAL WASTE PACILITY CI PUBLIC WATER SYMM ❑ OTHER IPLBA g GPECIFY Asom <br /> 1. List up to ton addresses in the space above. Select the typo(s)of files from the list above by cheeking <br /> the appropriate box(es). At least one file type MUST be selected. Fix to(2091464-0128 or mail to Via <br /> address indicated abovo. <br /> 2. EHD will notify the applicant if any EHD flies exist: An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after recalpt of application. The fires <br /> will be held for a maximum of five business days for roview._Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being woriced on by EHD st<1ff 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 appilcanl. Future file reviews by the same applicant may require a$89,00 deposit prior to review. <br /> 5. `TENTATIVE appointmaltt dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE, TIME ' <br /> DATE CONFIRMED PHONE FAX' INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> s <br />