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J0 e <br />SE*ICES <br />.. <br />+ - •DIVISION !o <br />:304 FAST WEBER AVENUE, THIRID FLOOR <br />STOCKTON CA 952a2 <br />(209)468-340 <br />PU13LIC RECORDS RELEASE APPLICATION <br />APPLJCANT ivt0-r <br />5 sU$tNl:sstAG cv--- aye,. ar �.crx..t t•.n..o lvgt _s <br />ADDRESSj g_� o. r► k. Wa_s + •I -.,L I- _ G L— A ca I <br />PHONE FACSIMILE o qr -•:E. ^ t �3 :a :> 8 <br />�QY <br />TENTATIVE* APPOINTIYew DATE THE <br />(Please give T to 10 baskUM days from date of a pptisation !} <br />64UM15 a, 31 <br />CHECK 9OX TO EXPEOrM REQUEST .$57-00 FEE -REQUESTfROCESSED IN 4USINE3S DAYS <br />SIGNATURE OF APPLICANT DATE 8 <br />FILEAooRE5S TM S10 rt: EfiD 57AFF t1SE ONLY <br />PROGRAM ELEMENTS SEARCH <br />. <br />.0 <br />132.. f-. FY4VYkOen .ta 3 fOc It %� Y► N <br />S Q nt. (�rcr+fe r S+. a S 2 d <br />�,ol tJ•.�++a-.®�- 5th: 384 2 2z?•o <br />1 <br />towfv moi. <br />lav►+�.v S+. I o23o I ► 23b! y 22 �0 8'0 <br />1 All soft <br />71 t-rl K4A-r 5+,.oC. $ - <br />S2.0 N. O.H joA ; _ Kiri, <br />r0 �+.0 1�1 _ �P.-M y.I r+. Y1' <br />NJ <br />••O0. <br />•7 CA �. y►0.M. �/OQ K. Yt <br />�o2 N. 5,9",J j rout -0 `v.r a.3 <br />ENVIRONMENTAL HEALTH DIVISION FILE$ <br />�ND911GROUND TANK (U:M CLEANUP Sly "p) Q HOUSING ABATEWENT ESOUD WAM FACIL11Y <br />THER CLEANUP SITE (NON -LOP) 17 FOOD FACOXY W301.10 WASTE VEHICLE <br />Er UNDFAGRQUND TANK (UON1TORINGfi2EM0VAIL) _ Q DOG IENNCL 0 DAIRY <br />1z6HAZARDOUS <br />WASTE GENERATOR 0 CHIGFG N RANCH Q PKG TREATMENT PLANT <br />4 TIERED PERAW TJ_D FACILITY Q MOTEIAIOTEL E7 PUMPER TRUCI YARoICHEM TOSETS <br />E3 TATTOOIBO Y P13RCCNG C3 POOIIshA - • ` 13 LAND USE APPLICATION STIES <br />MIMEDICAL WASTE FACILITY <br />El PUBLIC WATER sysTFmyl O OTHER (FLEME SPECIFY ABOVE) <br />1. List up td ton 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 L209) 464.9138 o mail to ttr <br />address ind'ac ag above <br />2. 1_HO will notify the applicant if -any EHD flies exist. An appointment for review will be confirmed <br />apprnximateiy five business days but no later than tort (10) clays after receipt of applkation. 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 is actively being worked on by EHp staff may not be immediately available for review. A new <br />application may be submitted when the file Is available. <br />4. Any fife not returned in the same condition as released will be reorganized by EH13 staff at the expense <br />of the applicant. Future fila reviews by the same applicant may require a $87.00 deposit prior to review, <br />5. 'TENTATIVE appointment dafts must be confirmed with EHD staff. <br />6. Applications received after 3:04 pin will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE TIME <br />DATE CONFIRMED PHONE FAX INITIALS <br />