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1 <br /> .nrtu � •� criv nuc:nc� <br /> SAN ,3O UIN COUNTYPUBLIC HEALTH SERVIR <br /> It ENVIRONMENTAL. HEALTH DIVISION <br /> 309 EAST WEEDER AVENUE,THIRD FLOOK <br /> STOCKTON CA 95292 <br /> ' � (.249)4F�-34Z0 <br /> PPBLI� RECORDS RELEASE APPLICATION <br /> APPLICANT (i I BUSINESSIA+saHcr <br /> i'liorlE lj �` <br /> ADRESS00 -3uFAG <br /> 137 ' VC�Z41f r <br /> TENTATIVE*APPOATmetiT bAT- 10�LR �l•��"' 7F�,� <br /> (Please give 7 to 10 bu5'FMT-Coors f(am data of appnr,Atiaa sudnaitG) <br /> i . <br /> C iECK SOX TO EXPEDITE REQUE T=samo FEE—REQUAST PROCESSED SN s BUSMESS DAYS <br /> SIGNATURE OF APPLICANT � DATE <br /> 1-7 <br /> FILI ADDRESS- TTI SIDE 00 STAFF USE ONLY <br /> t PRAM ELEMENTS ZEARCH <br /> i <br /> I <br /> I <br /> i <br /> iNVIRONDAENTAL HEALTH DIVISION•FILE$ <br /> W 1DERGROUND TANK(UST)CLEANUP SfTE(t QP) O HOUSING ABA7EMENT ,O $0W WASTE FACILITY <br /> THER CtAANUP SITE{NO►i L€"' O FOOD FACoUW 0 30LID WASTE VE19CLE <br /> UNDER6RDtIND TE 0"' MOVAIJ ❑ DOG KENNEL 0 DAIRY <br /> KAZARPOUS WASTE G>:ftERA7DR 0 CHICKEN FANCH 0 PKQ TREATMENT PLANT <br /> Q TIERED PUMIT EP FJ V=YY I MD7Ell#IQ7Et fO PUMPER TRUCWYAMCHEM TQII.ETS <br /> O TALTT(}QMOUY POKCING I d P00USPA s3 LAND USE APPLICATION SXES <br /> O rARDICAL WASTE FACa-FtY { D PUBLIC WATER SYSTEM 0 WH ER(PLEASE 5PEOFY ABOVE) <br /> 1. tj:$t up to ten adrlr�Sses 10 the space above. Select the type(S)of tiles from the list above by checking <br /> the appropriate bo (ez:}. At least one filo type MOST be soiectecl. Fax to(2t18} 484-0138 or Mau to the <br /> address indicated above. j <br /> 2. EHO will notify the�ppllcaht if any EHD files exist. An appointment for revim will be confirmed <br /> approximately five lbusine4s days but no later than tell(10)days after receipt Of application.'The files <br /> will be heirs for a nVxtcmunl�of rive business days for review. Appointments should be scheduiad <br /> accordia�iy. <br /> 3. A file that is activeV being%worked on by EHD staff may not be immettis Aly available for review. A new <br /> app!icatioa may bsubrnRXW when the file Is available. <br /> 4. Any file not returned in thsante condition as releaswd will be reorganized by EHO staff at the expoase <br /> of ti'm applicant. Future file reviews by tha same applicant may require a$87.00 deposit prior to review, <br /> s, "TENTATIVZ appol*vnt Oates frust toe cconfirmed with EHD staff. <br /> 6. Applicattlans reGeiKed atter 3:00 pm will be processed the next business day. <br /> CONFIRMED AppowrMENT DAF- TIME <br /> i <br /> MATE CONFLRMED I PHONE FAX INITIALS <br /> REVIEWED YES I No REVIEW DATE <br /> ao.. owr,00 <br /> TUT-L P.01 <br />