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UAI L 14LLLIVLU E�G NUMBER <br /> SANA&QAQUIN COUNTYPUBLIC HEALTALSERVICES <br /> WENVIRONMENTAL HEALTH DI <br /> Ll304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 EDD <br /> (209)468.3420 AUG 13 2002 <br /> a 0 A PUBLIC RECORDS RELEASE APPLICATION <br /> 1;-145 BUSINESSIAGENCY Vf-azov, r15 <br /> IE[q I MEAL-TI I I <br /> LET&F@"Elf 0 <br /> ADDRESS W i51 &kCA4 1-We 6`9�W)3 09 CA 9 6 <br /> �L 49M <br /> 00 <br /> PHONE 3t(&— FACSIMILE 155q- 5(6�-226� <br /> �ENTATIVE*APPOINTMENT DATE .145-W TIME 100100 1,477 <br /> (Please Clive 7 to 10 business s fr ate of ' cation submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$89.00 F T P C ED 3 BUSINESS DAYS <br /> 7- 13"- <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> CArw*5LA 3t43L( FI <br /> Op <br /> lei <br /> %A <br /> I Allr- <br /> 1 1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> U ROUND TANK(UST)CLEANUP SITE(LOP) E3 HOUSING ABATEMENT 13 SOLID WASTE FACILITY <br /> 0 ER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> CLEANUP ONDERGROUkD TANK(MONITORINGIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> HAZARDOUS <br /> HA7ZARnOUS WASTE GENERATOR 13 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTELIHOTEL C3 PUMPER TRUCKIYARDICHEM TOILETS <br /> 0 TATTOOIBODY PEIRCING 0 POOUSPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY S 0 PUBLIC WATER SYSTEM 0 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(es). At least one file type MUST be selected. Fax to (2091464-0138 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 be confirmed <br /> approximately five bus1neii'dayi'bu' t'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.1s actively being worked on 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 expense <br /> of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> I <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> •a#-I nor <br />