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Li4b W4 NU,AIJUi <br /> SAN , '1QUINCOUNTYPUBLIC HEALTH RVICES <br /> \j .:1 '-'c"NVIRONMENTAL HEALTH DIVIStu"I <br /> APR 9 2001 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 4T <br /> E <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> - r-�-—1 L' <br /> APPLICANT 11A0r-XV2LAe_ZjU- (-nPA�: BUSINESS)AGGENCYC301X61-1 <br /> ADDRESS_ 190b <br /> PHONE FACSIMILE Z-?�4 <br /> IV <br /> 04 <br /> -- - <br /> 1 <br /> A E*APPOINTMENT DATE TIME la'loodti- <br /> (Pleaw give 7 to 10business days from data of appileafion submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> '71 <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> 'S1­o('-I(--ro-, cfIt PROGRAM ELEMENTS SEARCH <br /> 4051 C <br /> Av !q <br /> 30tq6 <br /> -3 1 TS.O <br /> 7 q L,-Ib <br /> 00 Ca 41�&aa*fz 4W <br /> 4P I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> Ek UNDERGROUND TANK(USI)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ev— SOLID WASTE FACILITY <br /> k OTHER CLEANUP SITE(NOWLOP) 13 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> Ik UNDERGROUND TANK(MONITCHUNGIREMOVAL) 0 DOG KENNEL ❑ DAIRY <br /> ;k HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH PKG TREATMENT PLANT <br /> C3 TIERED PERMITTED FACILITY 13 MOTEL/HOTEL PUMPER TRUCKIYARDICHEM TOILETS <br /> M TATTCaq3ODy pElp <br /> ,CING n PdOLISPA LAND USE APPLICATION SnES <br /> 0 MEDICAL WASTE FACILITY Cl PUBLIC WATER SYSTEM OTHER(PLEASE 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(as). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> address Indicated above_ <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will he 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 actively being worked an by EHD 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 expanse <br /> of the applicant. Future file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHO staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE C0NFjRMr=D PHONE FAX INITIALS <br /> RFVII=wr:n YPR Nn D=VI9:W nAT= <br />