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inti' i l lt() <br /> 07- ` 01 09:47R11 <br /> 191EiE35S1tiS'✓J I-'.� <br /> ` (209)468.3424 <br /> 1 i 2001 PUBLIC RECORDS RELEASE APPLICATION <br /> Li, FP,i��C�kTiITL 14�.1�CF� { BLfSiNESSIAGENCY �"1J�C2- N N C. <br /> 5'��'t�sT A`C9�tao <br /> PHONE t✓�Ii�1 _" Leoc� J AcsiMILE 91(a) Ste'3 —i i3tQa <br /> TENTATIVE*APPOINTMENT DATE . U l.'( - ®� TIME � �o'--' ' rrft— ZUr� <br /> (Please Qivo 7 co 10 business days troll date o!application aubmitw) <br /> L(N/TS 3wcc.s._ [3iE~ewsGi crCK- <br /> CHECK BOX TO EXPEDITE RECLUEST-$b7• PEE.—REQUUT PROCE53 iN 3 BUSINESS DAYS - <br /> SIGNATURE of APPLICANT DATE r7 Z.o a <br /> X - - <br /> .. <br /> 9-• <br /> FILE ADDRESS TH <br /> PRQGiiA}d ELEMENTS SEARCn <br /> � ��•�J' LOt,?N TE.�'.Y CG..�Li v I5. ToC t:�s�rJ <br /> � L'cRs �sL,va �YG <br /> Z t 'ryVN A, S7(a,A V S K Ttsr.l <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND YANK(U-5T)CLEANUP SITE.(LOP) CI HOUSINQ ABATEMENT a SOLID WASTE FACILrTY <br /> OTkER CLEANUP SITE(MON-LOP) ❑ FOOD FACILITY ❑ SOt.1, WASTE VtHICLE <br /> O UNDERGROUND TANK(MONiTU MOtREMOVAL) L7 DOG KI3NNEL O DAIRY <br /> © HA2'ARDOt,14 WASTE GENERATOR O CHICKEN RANCH O PXG TREAYMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑ MQTEL HOTEL, CI PUMP.ERTRUCWTARDICHEEM TOILETS <br /> R TATTOOMOdY PEIRCING Cl POOUSPA E3 LAND USE AFPLiCATION SITES <br /> 0 MEDICAL WASTE-FACILITY Q PUBLIC WATER SYST91% ❑ OTHeR(PLBASt?SPVzCIFYAIiOVE) <br /> :1. List up;b tett addresscs in the space above. Select the type(s)of files from'the Ilse above by checking <br /> the appropriate box(es)-'At least one file type MUST be selected. Fax to(209)464=0438 or mail to the <br /> address indica ed above, <br /> 2. EMD will notify the applicant if any EFID files exist. An appointment for review will�e confirmed <br /> approximately five business days but no later than ten.(10)days after receipt of application. The flies <br /> will be held for a rnaxirnum of five businass days for review. Appointments should be scheduled <br /> accordingly._ <br /> 3. A file that Is actively being worked on by EHO staff may not be immediately available for review. A new <br /> application may he submitted when the file.is avaiiable. <br /> 4. Any file not returned In the sante eandition as released will be reorganixq,d isy t HD staff at the expense. <br /> of the applicant. Future file reviews by the same applicant may require a$a7.Qb deposit prior to review. <br /> �• <br /> 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3:00 pm will be processed tha next lousiness day. <br /> POW APPOINTMENT DATE TIME <br /> : <br /> (PATE CONFIRMED PHONE FAX INITIALS. ` <br /> ,REVIEWED YES NO REVIEW DATE - <br /> en oo u ,oaor�ao TOTAL P.02 <br />