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04/30/2003 09:42 FAX 209 9480621 0)002 (103 <br /> DATE RF-lig 1.00-umBER <br /> , J7"V <br /> JOA IN COUNTYPUBLIC 14E* ALTH SERSES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> APR 3, 0 Z003 STOCKTON CA 95202 <br /> ,.-NVI' ;,`;'\11%4EN1 HIL-A (209)468-3420 <br /> , LJ�U <br /> Q BLIC RECORDS RELEASE APPLICATION <br /> APPLICANT BUSINESS/AGENCY /-,e'."'74E e "1'rte------- <br /> ADDRESS 421e-44-0- <br /> PHONE qqO- 13C-1 5' FACSIMILE <br /> a. —Z'1- <br /> TENTATIVE*APPOINTMENT DATE 6;/-710 TIME <br /> (Please give to 10 business days from date of apPlIratiOn Submittal) <br /> • <br /> ,is <br /> CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE-REQUEST PROCESSED IN 3 SUSINE. PAYS -4 <br /> DATE <br /> SIGNATURE OF APPLICANT _ <br /> FILE ADDRESS THIS EHD STAFF U:iP-ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 1976 Cov­+ny---(:Iv& <br /> \j <br /> N ;X O 3cyI.r Gras T <br /> 00V�4" CI.L -Rlvj. <br /> /&to 3 CVVe%+—y clu-k <br /> -7 --LUIUU <br /> Co"4-o-Z C4vs 91vZ <br /> X57 S COUA+-&,Y JV111z - <br /> ;2 70 Cg: - ­] AV <br /> .�2v^j= Cto6 91 v.� <br /> v1AjI I A <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ­01UNDERGROUND TANK(UST)cLF-aNup srr E(LOP) 13 HOUSING ABATEMENT C3 ACILto WAS;TE FACILRY <br /> ,,gr OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ,21"SCILID WASTE VEHICLE <br /> jj2rTNDERGROUN0 TANK(MONITORINGIREMOVAL) 0 DOG KENNEL 0 DAIR"' <br /> 0 HAZARDOUS WASTE GENERATOR E3 CHICKEH RANCH 0 pKr,*rPEATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY C3 MOTELnJOTEL 0 PUMPER TRUC:KNARDICHEMTO[Lr--T!-XI <br /> C3 TATTOOMODY PEIRCING t3 pboUsPA E3-LJ,NEI USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 0 o'rHt:R(P%EA$ESPECIFy;%SOvrz) <br /> 1. List up to ten addresses in the space above. Select the type(s)of-riles from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. fg_x1,.0—e=9 464-0138 or mail Jtq—th—e <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 business days but no later than ten(10)days after F%eil)t ofsjppiication. The files <br /> will be held for a maximum of five business days for review. Appoiritn'lents should be scheduled <br /> accordingly. <br /> 3. A file that is 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. The expense <br /> 4. Any file not returned in the same condition as released Will be reorganizedby EMD staff at <br /> of the applicant. Future file reviews by the same applicant may requiri, a$87-00 deposit Prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3100 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> I T-, <br />