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... :.:i .: ..., ..a i u v1. .ii11LGiN :i1v. 1 iii) .-J. i.:J :'_ l•a <br /> 01 09 4?f1 F TO yies <br /> l5sitiba r r1.az <br /> (209)468.3420 <br /> Itll_ X2001 PUBLIC RECORDS RELEASE APPLICATION <br /> E €'WCaga7i i,� FC t fit'E 4'}tEkf� BustNEsstscEtvcY, �-��T'cz�t�S <br /> 'ADARt2$S.�i I'` �� (cabStT —�R.. t3 t"i'� (�14NCt4'en A 9 <br /> PtIQNt: ltu) �S�t BCCI _rACSIMILE L9tso $5ive <br /> 3 '-i Brod <br /> TENTATIVE*APPOINTMENT DATE .�4J�'Y 2-S ®t TIME �' F� • 2J01 <br /> (Please Uivo 7 to 40 business days trom date of application aubrn[tt31) <br /> Z Wl7— 3 wac<. t31Er..sG, cr ct� <br /> CMI CIC BOX TO EXPEDITE f;E9LUEST-$47 FEE-REGttf>r.ST PROCESSE !N YS <br /> 3 BUSINESS DA ` ta►PP�T ��`(- <br /> .SIGNATURE OF APPLICANT `I DATE —7 Z•O O <br /> ..,,a - z a -•-- —�osA.e. �a.�----ramsxei eentlmx� �n e�------ <br /> e' FILE ADI) ESS TH IS SIDE CHR STAFF.ITS$ONLY <br /> PK90RAM ELEMENT$SEARCH <br /> l --re 2.5 CW IrJTR.Y 421 am <br /> "J eCxs I&L-vo <br /> \v Z 1 r--6r4-nA-MA- &Au S ta� <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND YANK(UST)cLr:ANUP SITE(LOP) D HOUSING A13ATEMENT a SOUR WASTE PACILrrY <br /> OTkER CLEANUP SITE(MON-LOP) ® FOOD FACILITY a $OLID WASTE VEHICI E <br /> O UNDERGROUND TANK(MONITORINGfREMOVAL) O DOG KENNEL O DAIRY <br /> 13 HAxAROOV3 XVASTE GENERATOR O CHICKEN RANCH Q PKG' PfiA1MENT PLANT <br /> 4 TIERED PERWrYED FACILITY ❑ MQTELjHOTEt. CI PUMPERTRUCi4JYAiiD/CFIEM TOILETS <br /> O TATYOO1aOdY PEIRCING CI POOUSPA '^' 0 LAND USE APF'L•tGATioN SITEs <br /> 0 ML'DICAL WASTE-FACILITY 0 PUBLIC WATER SYSTEM O OTHeR(PLkASL SPECIFY ABOVE) <br /> :1. t Ist Up,4b ten addresses In the space above. SoInt the types)of files from1ho list above by Checking <br /> the appropriate boxes).' At least one file type MUST be selected. Fax to Qg2)464-0438 or mail to the <br /> ad cess indica 2d above. <br /> 2. EHD will notify the applicant if any EHO files exist. An appointment for review will-�Q confirmed <br /> approximately five business days but no later than ten.(10)days after receipt of aplalicatlon. The files <br /> will l o held for a rnaxim6m of five business days for review. Appointments should ba scheduled <br /> accordingly-_ <br /> 3. A filo that Is actively being worked on by EHD staff may not bo intmedfately available for review. A new <br /> application may be submitted when the file-is available. <br /> R. Any file not roturned In the SAMe condition as rclearted will be reorganizod tyy EKD staff at the expense, <br /> of the applicant, Future file reviowz by the Sam®appitoant may require a$87.Qb deposit prior to review, <br /> S. "7ENTATIVE appointment dates must be confirmed with EHD staff, <br /> 6. Applications received after 3:00 pm will be processed the next business clay. <br /> 'icw IRMED APPOINTME-NT DATE 'EINE~ <br /> 'LDATE CONFIRMED PHONE FAX INITIALS. <br /> -'REVIEWED YES N0 <br /> REVIEW DATE <br /> Ch 04 14 ootorbo TOTAL P.02 <br />