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OW LUL,rr u'r:uple <br /> SAN J,, ,JUIN COUNTYPUBLIC HEALTH .E. DICES , l <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR v <br /> STOCKTON CA 95202 <br /> (209).468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT I�C?` ltibtn � BUSINESSlAGENCY ll�P �^ n �C�<-�+v�, C-G+-L <br /> ADDRESS 3140 r4_ ui ' <br /> PHONE �� } FACSIMILE 87/ - /8-09 <br /> DAT . <br /> TENTATIVE*APPOINTMENTETWF_ � ` <br /> (Pleaab give 7 W 10 b alnesa days from date of application zUbmitiA <br /> AUG 3 <br /> El CHECK BOX TO EXPEDITE REQUEST-$78.00 FEE-REQUEST PROCESSeO IN 3 BUSINESS DAYS ENS/ 2000 <br /> L� PFR�N�'�FNT <br /> SIGNATURE OF APPLICANT . DATE _QQ/. <br /> BILE ADDtuSS THIS SIDE ERD STAFF USE ONLY <br /> V_L PROGRAM EL94ENTS SEARCH <br /> ENVIRONMEN AL HEALTH DIVISION FILES <br /> D UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WAST£VEHICLE <br /> UNDERGROUND TANK(MQNjT01UNG;R£rd10VAL) ❑ DOG KENNEL D DAIRY <br /> , HA2ARnoUs WASTE GENERATORC] CHICKEN RANCH t7 PKG TREATMENT PLANT <br /> ❑ MOTEUt107EL O PUMPER TRUCKfYARDlCHEM TOILETS <br /> 0 MRED PERMITTED FACILITY O L.AMD USE APPLICATION SIT-LS <br /> ❑ TATTOCIBODY PEIRCING 0 PQOVSPA <br /> 0 Ajr.DICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> I List up to ten addresses in the spaca 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 tralcGtcd. Fax to (209) 4§4-0130 or mall to the <br /> address indicated above. <br /> 2, EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ton (10) days after receipt of application. The files <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively beim worked on by EHD staff may not bo Immodiatoly available for review. A new <br /> application may bo 5ubrn1tted whfin the file It, available. <br /> 4. Any file not returned in the samo condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Futuro file reviews by the same applicant may require a $78.00 deposit prior to roviaw. <br /> 5. "TENTATIVE appointment dates must be r-onfarmod with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIAL$ <br /> REVIEWED YES NO REVIEW DATE <br />