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DATE RECOVEG 06-00 I <br />SANOAQUIN COUNTYPUBLIC HEALT _ ^RVI <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKi'ON CA 95202 <br />(209) 488-3420 <br />PUBLIC RECORDS RELEASE APPLICATI <br />.. • arm+�r.�f.�/1.Til//_:/ .'iR+►l�lor.e, WA <br />0 <br />TENTATIVE- APPOINTMENT DATE TIME <br />(P 2se Siv® 7 to 10l,trainass days lr4m date of applioadon <br />5-1-1--____ <br />E11 LgG NUNBElz <br />CES D C ��VF <br />CHECK BOX TO EXPEDITE REQUEST - $73.00 FEE - REQUEST PROCESSED IM 3 BUSINF3S DAYS <br />l e DATE — <br />SIGNATURE OF <br />i` , ..� it /s aL .'► a <br />e <br />154 4r <br />LW W <br />WW— <br />WW— <br />WW— <br />WW- <br />1% A 1111115-4 W24W <br />ENVIRONMENTAL HEALTH DIVISION FII. <br />APR 0 7 2000 <br />BUSINESS/AGEhICY r /1i% G � <br />PER S/l'T/`r'<<%'\i10ES <br />.W� <br />'-sS <br />e <br />APR 12 2000 <br />NI)CAO OUND TANK NST) CLEANUP SITS (LOP) <br />O HOUSING ABATEMENT <br />�I SOLID WASTE FACILFiY <br />OTHER CLEANUP SE (MON-LAP) <br />13 F000 FACILITY <br />r O SOLID WASTE VEHICLE <br />NDERGRcx1ND TANK (MONITfMi7tdOMEMOVAL) <br />O DOC KENNEL <br />D DAIRY <br />AZAFWOUS WASTE: GENERATOR <br />rMTHUER <br />C] CHICKEN RANCH <br />0 PKG'rREATMENT PLANT <br />ED PERMn-MD FACILITY <br />D MOTELINOTEi. <br />❑ PUMPER TRUCK/YARDICHEM TOILETS <br />d-rATTOOMOPY PEIRCING <br />L0 POOLtSPA <br />® LAND USE APPLICATION SITES <br />0 MEDICAL- WASTE fACILTTY <br />b PUBLIC WATER SYSTEM <br />E3 OTHER {PLEASE SPECIFY ABOVE) <br />1. List up to ten addresses in tho space above. Select the type(s) trf files from tate list abeive by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to (209)§d-0138 or mail to the- <br />addre*s Indicated above. <br />2. EHD will notify the applilount if any END files exist An appointment for review will be confirmed <br />approximately five business days but no later than ten (10) days .after receipt of application. The files <br />will be hold for a maximum of five business days for review. Appointments should be scheduled <br />accordingly. <br />3. A file that is actively being worked on by END 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 END staff at the expense <br />of the applicant. Future file reviews by the same applicant may require a $78.00 deposit prior to review_ <br />5. *TENTATIVE appointment dates must be confirmed with END staff. <br />Li. Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE TIME <br />DATE CONFIRMED <br />RENEWED YES <br />PHONE FAX INITIALS <br />REVIEW DATE <br />TOTAL P.02 <br />