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From: 07/05/,'"17 14:02 #406 P.001/001 <br /> :- , <br /> +•�.•.vvI»gVGil tirVun1 Tr�Unuu"I:ALTFb 2515f °"?j� ' ` 7 V ENVIRONMENTAL HEALTH DIVISION <br /> 804 EA57 WEBER AVENUE 7*F1tFtD Flop <br /> +i ' STOCKTON CAN= � <br /> PURIUC RECORDS RELEASE APPLICATION <br /> APPLICANT L <br /> BUSINESSiAGENCY <br /> ADDRE's P.Q• b d 06 Lo� S� <br /> PNDNI: / FAC... <br /> TEIIITA7WE'`APPOINMENT DATE 7— —0 .. TIME <br /> . (Phase�Ye i to iC buslnkse days►rem dale of app!,catian subrnrttot�y �..._. <br /> CHECK BOX TO EV®iTE F PROCESSED IN 1 BUSINESS DAYS / .w <br /> SIGNATURE of APFILICAlk <br /> DATEF&E <br /> MADDRE58 TINS SIDE EHD AFF U69 ONLY <br /> PROG aL sa.�BFARCH <br /> G <br /> tiOUN0 TANK.(IiST)CLEANUP BETE(LtTi+) a HOUSING ABATMENT 4 SOLID WASTE:FACLITY <br /> E3s <br /> Eft CLEANUP etre( OHLOP) a FOpFACHY C SOLD WASTE VENICLiUMEWROUND F <br /> TANK(KOWTORING11MOVAL) .0 DOG 1D;Wa L Q DAIRY <br /> t3 HA,ZARSOuS WAM GENIMATOR Q CHICKEN RAMM G PKG TREATIaMENT PLANT <br /> 0 TIMM PORLUT1EO FACUTY 11 MOTEUNGTE'L Q PUWER TW-1CWYARD=E14 TG!LET'S <br /> TO <br /> O YATOMDDYPEIRONG n POOUSPA 0 LAND USE APPLICATION hirr£S <br /> 13 MEDICAL WASTE FACU M , a PUBUG WATER SYSTEM 6 OTHER(PLEASE SPMWYABOYEI <br /> 1. List up to ton addressee In the space above. Selea qac type(s)of flies fer m the list above bi checking <br /> the appmpafnetr bax(es). At least.one file tyre MUST be selected. FM 12&MI g i4-D988�or enai)M fhe <br /> - 11dd in�a�e li li �thtwe. <br /> z EHD will•notify the appitcont if eery EHD flies eWsL An appointment for ravlew will he confirmed <br /> 81113roRk ately five Business days but no later than tent(40)days after receipt of appilimtion. The flies ` <br /> Will be held for a maximum of five business days for review. Appointments should be scheduled j <br /> accordingly. <br /> S. A file that Is aactively taring hirarhad on by EMU staff naay not he Immediately available for review. A MOW <br /> application may be submitted when the film Is available. <br /> A. Any file not returned in the same condition an released will be reorganized by EMI]staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a 809.00 deposit prior to review. <br /> s. *TENTATIVE appointment elates must be eoiifirmeO whit EHO staff, <br /> ti. ;Applications received after 3.00 prn will be processed the next business day. <br /> I <br /> CONFIRMED APfolNT11baw UATiE TIME <br /> l <br /> DATE CONFIRMED PHONE FAX INMMS <br /> s <br /> REVII2WED YES NO REVIEW DATE <br /> P004r Fax Note 7671 Rota P t <br /> F>+M <br /> Pnmrer sCIA <br /> taxa Za s 3 OY4 2 .,<a 61. Llta4 -a!Mj ; <br />