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VAC L P+i)Mipart <br />3 <br />d.4 <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />ERcnoliNr.I. TANK tUts-r; ci FLANIIP 575 (13) <br />ER Cl EANUP SITE (NON-LOP) <br />ERGROUND TANK (MONITORING/REMOVAL) <br />OUS WASTE GENERATOR <br />ED PERNIrtTED FACILITY <br />00/BODY PEIRCING <br />FCAL WASTE FACILITY <br />17 NOOSING ARATEmEwt <br />FOOD FACILITY <br />DOG KENNEL <br />1:1 ctiicKeN RANCH <br />MOTEUHOTEL <br />POOL/SPA <br />PUBLIC WATER SYSTEM <br />SOLID WASTE FACILITY <br />$01_11/ WASTE VEHICLE <br />DAIRY <br />PKG TRFATMENT PLANT <br />PUMPtiR TRUCK/YARD/CH TOUTS <br />LAND USE APPLICATION SITES <br />OTHER (PLEA.SE SPECIFY ASOVB) DEPEIDODD n0:jC7-1 7 <br />SAIN, ,,OAQUIN COUNTYPUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304. EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />(209) 4158-3420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />BUSINESS/AGENCY -.7" <br />52 ee./.44y0 <br />9/47 .7e, 6 gagt 6-8 FACSIMiLE 9/4. <br />4 <br />',L6v7 <br />• <br />TENTATIVE- APPOINTMENT DATE TIME (Ploas• <br />give I iç ¶Q busirass days Irom date ot application submittal) <br />ECK SOX To EXPEDITE REQUEST - $78.00 FEE — REQUEST PROCESSEI3 IN 3 BUSINESS DAYS <br />TURE OF APPLICANT f==>.,,A á)d//1 c- DATE /rf? ele) <br />Llat up to ten addresses In the space above. Select the type(s) of files from the list above by chackitn <br />the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-013B or moil to the addLeas imputed above. <br />El-ID will notify the applicant If any BID tiles 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 held for a maximum of five business days for review. Appointments should be scheduled <br />accordingly. <br />A file that Is actively being worked on by EHD staff may not be immediately available for review. A niir <br />application may be submitted when the file is available. <br />Any file not returned in the same Condition as released will be reorganiZed by END staff at the expens <br />of the applicant. Future file revlevrs by the same applicant may require a $78.00 deposit prior to rayle <br />'TENTATIVE appointment dates must be confirmed with EH[) staff. <br />Applications received after 300 pm will be processed the next business day. <br />IRMER APPOINTMENT DATE <br />CONFIRMED <br />ED YES <br /> <br /> TIME <br />PHONE FAX INITIALS <br />REVIEW DATE <br /> <br />NO <br /> <br />•••,... • •