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}AYE KeQ&VZDSAN +) fi. IN COLIEVTYPUBLIC HEALTH SER'��'"�ES - <br /> FNVIRONME,NTAL HEALTH ()IVIS ON <br /> ER AVEi�1taE,THIRD FLOOR i -', • <br /> 304 EAST YYEB _. •-. <br /> STOCKToN CA 55202 <br /> (2o9)46$-3420 „= <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLIGATii suslNMIAGEticy <br /> AODRIr3S/ � �, <br /> FACSIMILE <br /> TENTATIVE"APPOINTMENT DATA <br /> tpiease piv4 7 to i4 ttusiness days from date of aPpliptian dubmiStal] <br /> CHECK HOX TO EXPEDITE BEQUEST- '00 FEE—FZEaUCST PROCESSED IN 3 BUSINESS DAYS <br /> DATE <br /> GN[ATURE OF APPLICANT <br /> FILE ADL1EtESS MIS SIDE Elft#3 1J1 USE ONLY <br /> vjk RAM ELigMe)M sEARC" <br /> Gi,�v►�h <br /> ENVIRONMENTAL HEALTH DIVISION f lLES <br /> ❑ HOUSING ABATEMENT a SOLID WASTE FACILITY <br /> UNDERGROUND TANK(UST)CLAANUP SITE¢oP) o f000 FAMLITY O SOLID WASTE VEHICLE <br /> C3 OTHER CLEANUP SUE(KONd.OP) p DOG KENNEL M DAIRY <br /> Q UNDERGROUND TANK�1M0NIT0RIX6JRZWQVAL) Q e:lftCK9N RANCH C PKG TREATMENT PLANT <br /> I7 flAZARO0U3WASTE GENERATOR fl MOTFLIHOeT£L Q pUMPERTRUCWAR=HEMT0iLETS <br /> fl TIERED pjERMITTED FACIUTY p PQQLFSPA 13 LAND USF_APPLICATION 31ITESS� <br /> 0 TATTOQI9ODY PEIRCING O PUSL.IC WATER SYSTEM )5 OTHER pspa , <br /> a MEDICAL WASTE FACILITY <br /> 9. List up to ten addresses;n the $pace above.. Select the type(ss)of files from the"t above by checking I <br /> the appropriate box(es). At least one fila type MUST be selected. Fax t 2 464 Q13 or Ina'1 the I <br /> s" is e a ye• . <br /> 2, ad!d will ratify the applicant if any EHD files exist. An appointment for ravie►er will be confirmed <br /> EHDapproximately five business days but no later than ten(10)days after receipt of application,. The files <br /> will be held fvr a maximum of five busineSS days for review. Appointments should be Scheduled <br /> I <br /> accordingly. <br /> 3, A file that is actively being worked an by EHD staff may not be immediately available for review, Anew } <br /> application may be submitted when the file is available. <br /> a. Any file not returned in the Same condition as released%ill be reorganized by EHO staff at the expense <br /> of the apPlicant= Future file reviews by the same applicant may require a$18.00 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,Rrocessed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> t7�ATE CONFIRMED <br /> FAX IN MALS <br /> Arinriktrn tiww LIr ..,....r....�.r.- <br /> TOTAL P.O1 <br />