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T�'d -A/1C11 <br /> .,,,��t� Irl'� -,�i i-_,•,,,,•;���_-, 1 - <br /> ��-,S �:.'.�!.f:l�_-';ii•`;.i A ,�DAQUI>�t +C4UNTYPUB.�1C HEALTH S ; . <br /> L'tiU Lug.NLAM1ULfc <br /> FzNVIRONMI NTAL HEALTH DIVISION ViC�s <br /> F F.B 2 0 2001 304 EAST WEBER AVENuE.THIRD FLOOR • <br /> �� r�r�r' ��=F\Li H STO'(KTON CA 9.5,ZDZ <br /> E���li;•Ji� f�._l'i 'r E. (zoo)408-34zo <br /> FUBLJC RECORDS RELEASE APPLICA nON <br /> PDL ES,5 � G��G <br /> ABU51NESWAG R4CY� LP�V if0l'tt?EQ� i 1 l ai r <br /> DARESS (v�G. A� �I <br /> gHaHs FACSIMILE ULA —16 4 <br /> TENTATIVE-APPoINTMENT OATF <br /> {PicpyQ give 7 to 14 bush -drys tram date of�ppliaAGore j4� <br /> CHECK$QX 74$XPF.QITE REQUEST ;51.(►t1 FSE-R�CIUEST PRCaaCE3S3=p IN 3 BiJ$iNa~$$T}.AYS! <br /> SIGNATURE CSS"APPL.ICANT <br /> i <br /> FILE ARDtZESS Ttii.i SIOE 9T11:1'-F 1,1!:,;EMS QNLY <br /> PROGRAM 11"LI ENTs s�CH <br /> c9 <br /> t+5 / <br /> t <br /> ter '• i — <br /> ' <br /> i <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLSANUp sIYE(Lop) ABATEMENT HbtJ811VG ABAT <br /> S� OTHER Ct.EANUP sMa(NaN.LoPI © Peep FA ABAT SOLID WtAWM FACILITY <br /> LI SOLID <br /> *A5TE VE;1CLEUNDERGROUND TANK{A0XlTQRiNG1R;AiYVAL) ❑ G4G KENNEL HA 0OUS WASTE gLNERATOR C.DAIRY <br /> ❑ 'REREO PERMIFFhO F-ACUJTY WMN <br /> RANQM 0 PKG TFOATMENT PLANT <br /> ❑ TAT7001BQ10Yp RCING G MOTF'oo 7.fH01�C D <br /> O FOb11Si�A ?0P4P TRUGIGPI'AE EMTOIiXn <br /> ❑ MEUICAL 1NAST>;FACIUTy ❑ LAND SE APPLICATION SMEs <br /> D �Uat.Ic WATER s'f5 iENI 0 THF.RI(P1, *r-SPECW ABgVE} <br /> 9. List uF to ten adGresses in the space above. Select the ' <br /> the appropriate box("). At least one filo type MWT be epee 4;) f Faxes$(�e a list Abovo by checking <br /> .99 Ss indicated a_e • �Tca�1 tQ th® <br /> 2• EHD will notlfy the appiicAnt if any EHP files cx`ist. An a <br /> PAaintment for review will be cugfirnled <br /> approximately five business days but no later man ten('{0} daxs Afterreceipt of appilication. Th$files <br /> will be field for a rsleximurn Of five busirics s days for review. Appolntm$nt�should be scheduled <br /> accordingly.3 A file that is activelybeingworked on b END staff may not be immediate, : <br /> aPpiicattdn may be ubWitteO when the Ills is aivallable av atlable for review. A new <br /> a Any Flo rxo#renamed in the same condition as released will be reorganized by EHD>xtaff at the expense <br /> 5. 'TENTATIVE Of the appicant. Fut re file rmfiews by the same appliCant•ntay require a$47.00 deposit prior to roview. <br /> 5. App cat ons razeivedsitter 04 pm will be praacess d the next Gusln <br /> est day. <br /> • I <br /> CONFIRMED AI FOINTMENT DATE <br /> TIME � <br /> i <br /> DATE CONFIRMED <br /> PHONE FAX i <br /> IVrrIALS <br /> REVXWED_ YES NO , <br /> RJEWIEW DATE I <br /> tiO'd� T09TGG0STtYT Ol <br /> wo WdQS:�© TF�E34-�1-20 <br />