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FEB-25-03 12 :54 PM P.01 <br /> Aj- <br /> 02/ 41. HEAL PA <br /> P7 <br /> SAN-' OAQUIN COU NTYPU13LIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION <br /> FEB 2 5 �003 ' 304 FAST WESER AVENUF,THIRD FLOCA 401FMIF <br /> ENVIE;ONiVIF-1y, STOCKTON CA 95202 <br /> PFR <br /> (209)463-3420 <br /> P,,) <br /> T,�-�04//CLF,6-IC RECORDS RELEASE APPLICATION <br /> APPLICk,qT �::N-7, OU-SINE SGIAG ENCY U-U-"r <br /> PHONE A43iV.lLr �_-.l_. __.... - -- -0 (7�( <br /> - <br /> TENTATIVE'APPOINT MT60 AT E- TIME <br /> to tv.7 t, <br /> (Ple so gtva 7 to io businuss days from date of applicatIon submittst) <br /> Ck't <br /> CHECK SOX TO EXFMTEREQUET-489.00 FEE-REQUEST PROCESSED IN I B'JS14E$S DAYS <br /> -1 4�2 <br /> SIGNATURE OF APPLICANT Aoi <br /> DATE <br /> FILE AORrzs "4:j SiFE-ENDSTAFF USI:ONLY <br /> I <br /> pROGRAM ei.gMaWnj SEARCH <br /> If <br /> /—]A 12, 14- !1 A- AVL <br /> 5-7 <br /> ------------ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ,* Wvz <br /> GrAou.�'D yANy.(UST)cLEA1 IUP SITE(LOP) t3 SoUsImo AI)ATEMENT 0 SOLID WASTE FACILITY <br /> -,0pr <br /> ,!F.R GLLANUP SITE(NOM-LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> 'g,.,ND9;tGRO1jkD I-AMR(MOMIT0110 GIREMOVAL) 0 000 KF-NNPL 0 UNRY <br /> HAZAADCUS WASTE GENERATUR 0 CH(CKEN RANCH C) pKG TI(EATMENT PLANT <br /> D P;jmpcFtMVCKNAnDXHI IA10ILETS <br /> 0 MMUNOTEL -S ' <br /> (24so PERMITTED FAMITY 0 PCOLISPA o LANC USE APPL'CATION S TE <br /> TIATTOO/G..Ijoy paittr.1wro 0 OTHCR(PLEASE SPECIFY,MVE) <br /> Q M110tCAL®PASTE FACtLrTY <br /> n adarons s In !he spaco above. Select(130type(s)of files florr,the list above b�1.110ching <br /> 1. List up to to , , Fax Wto box(c, At least one file type MUST be selected. _j;0J2091L4— <br /> the approprWto I _§4 <br /> a4gL ntficlated ab e. <br /> qjLL__--- S, exist. An appointmont for rOvIOW will be confi6cd- <br /> 2. EKO will notify the ap ilcant if any EHD files <br /> n! The files <br /> approxim.-nicly rive E, ;naS3 days but no later than ton.(10)days after recalpt of IPPllcat,110 -r <br /> will be held for a maxi mum of five business days for review. Appointments should be sche I.4UIOd <br /> accordingly. * bit for rc�jcw. A now <br /> 3. A filo th2IJA actively I 01nig worked on by EV-0 staff may not be InunedlatelY-Ival, <br /> application may be submitted when the 1110 Is available. <br /> 4. Any file not returned ft the same condition as released will be reorganized by F-1-10 staff at(he expense <br /> of the ApplicanL Fut ure file roviewo by the same applicant may require a$8100 dc!POSK prior1 to review. <br /> S. 'TENTATIVE appoinb Rent dates must be confinnod with END staff. <br /> Applicatignu,receive( -211cr 100 prn will be procossod the next business day. <br /> CONFIRMED Ar-POINTMW'DATE TIME <br /> PHONE FAX I.WTIALS <br /> DATE CONFIRMED <br /> REVIEWED YES NO REVIEW DATE <br /> -03 teff V/V1 1)10J kle!5 M.1) <br />