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08:732H;M FRor1 Ti I.,�+2,5,602-i^--CI F.I-D2 <br /> �:- ;j )) S' N .iUAQLi1N CC3UN7YPLIlUO HEAt�TI-� SEF,�rlCES <br /> ENVIRONME-ENTAL, HEALTH DIVISION <br /> 304 E- i VVEaER AVENUE,THIRD)FLOCUEr <br /> STQC1ti rUN CA 9520z <br /> (209)463-0420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ,Pi✓i,:GA11'r S IELISIN*$SIAGENCY <br /> ADDR:53 <br /> PH4lIFi _ �l2. Ff�C31Nt1LE- � iL <br /> y!A TENTATIVE*APPOI CraENT MATE �O T(Map(Please givo 7 to10buss sS cls s trocr,sato c;application ac4hmitta P I` <br /> CHECK k;OX TO EXPE;Df7E R 'QUEST.$97.00 FEE—110 QUEST PROCESSED IN=s BUSINESS DAY!; <br /> SIGNATURE OF APPLICAN _ DATE � IV <br /> FILI ACKd tss THW UDE-4-140 STAFF USE ONLY <br /> FROGRA14 OLEMENTS SEARCH <br /> 91 <br /> 17 ��� y of 4 �� <br /> aka z o 0 6 _o i� <br /> 1 <br /> ENVIRgHn1ENTAL HEALY;t DIVISION FILES APA 18 <br /> (LOP) <br /> UNOERGI$17UNp YANK(UST)C ANUP SITE r� HOUSING ABATFMENY �0UQ WASTE FACILI7Y <br /> Q OTHER CLEANUP 31TE(NON,t_t) ) M FOOD FACILITY ❑ &OLIO WASTE VEHICLE <br /> f1�LINGERGRQUND TANK(MON 1Tt? INGIRLMOVAL) 0 005 KENNEL M 13AIRY <br /> .-2'tiAuA=0LJ5 WASTE GENER:1T R ❑ CHICKEN RANCH O PKG TAgATMENT PLANT <br /> p T1E:19!0 PERMITTED PACIL ITY a MOTrLJ140TFi, CI PUMPER TRIUCKIYARa1C1111,M TC)1t TS <br /> ❑ TATTOO/BODY PEIRCING C] OOL!$PA —- 17 LAND USE APPLICATION SITES <br /> t7 h15QIQAL WA.a.YE FACILITY LIBLIC WATER$YSTEM C3 OTBLR(PLWE:SRtCLFY ABOVE) <br /> 1. List up to too addre ses in the SpaLt,, ,reeve. Select the types) Of files from the list above by checking <br /> the approprinta bOX es). At hast olio Filo type MUST h&selected, Fsx to (209)4%40138 Z_-Lk' r tho <br /> ddre Sind aatrtd a ave. <br /> 2. EMD wi11 notify the ppiicant if any 1~HD files OXlst. An appointment for review wiil be cAntir'rned <br /> approximately five uslne$s days but 10 later than tort(10)days after receipt of applicaticrl. The Illes <br /> will be dela for a m ximum of five business days for review, Appalnrmahts should be Schetiuisd <br /> accordingly. <br /> w. A flls that is actively being wQrkcd On by EHD Staff may not be irnmsdiately avullablo for review. A new <br /> application may be SuIWIlItLed when the filo is available. <br /> *. Any fill: trot returne in the same condition as relets;tsd Will be reorganizcCl by EHD Staff at tho expcirrse <br /> of the applicant. Fu faro file reviews by m(s samQ 21?Plicant may requiro a$$7.00 depOsit prior tO raar , <br /> 6. YrENTA"rlyE appAln meet dates must be confirmed with ENb staff_ <br /> 6. App1lcatian5 recoiv d after 3:00 prrl will be processed the n1w business tray. <br /> CONFIRYfED AAPOINTMEN DATE TlrrSr <br /> DATE CONFIRMED PI'IQNE �`-- <br /> FAX INITIALS <br /> I REVLF.WEp YES N REVIEW DATE <br /> :H 00 14 ����o7roo - ,. <br />