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Ulu Lw NUN18tR <br /> DATE RE EMD <br /> 1 `RI! /1 f l ENVIRONMENTAL HEALTHDIVISION ICES <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> AUG 1 6 2001 STOCKTON CA 95202 <br /> (209) 468,3420 <br /> EidlilF, ' uli•r, -.`,I:fH PUBLIC RECORDS RELEASE APPLICATION r <br /> APPLICAN <br /> ADDRESS„�} `�y [' L , ' ' �7n /B/U�SyMESSIAGENCY QLy)Lt1�n-�'yL<'p� � ��1-(���d�/��� 4�►C <br /> X723 ��JJ /00 &�C.IK�i�CJ�• La�....F J +T,I �r <br /> PRONE lrTl/ `(b x /00 & 9G . `M0. <br /> Cl !7/ <br /> Ei iyQ /) <br /> TENTATIVE' APPOINTMENT DAVE TIME <br /> (Please Qive 7 to 10 bush day date of application s.ubmlBal) <br /> ul�) / rs <br /> CHECK BOX TO ECPEDITE REOU $7a.0Q FEE - REQU 5 P�D SSED IN 3 SU5INE55 DAYS <br /> DATE <br /> SIGNATURE OF;APPLICANT <br /> f FILE ADDRE55 <br /> pQ <br /> � n <br /> r +r <br /> ~ rt <br /> ✓ A� Fire rT` <br /> Ir <br /> J <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILIff <br /> CLE <br /> OTHER CLEANUP SITE (NON-LOP ) 13 FOOD FACKSty ❑ SOLID WASTE VEHICLE <br /> 1 ❑ DAIRY <br /> UNDERGROUND TANK LMONITORINGIREMOVAL) ❑ DOG KENNEL t] p)(G TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR C1 CHICKEN RANCH <br /> ❑ TIERED PERMnTED FACILITY CI MOTEUHOTEL ❑ PUMPER TRU(;WYARDICHEM TOILETS <br /> ❑ TATTOOI90DY FORCING a POOLISPA ❑ LAND USE APPLICATION SITES <br /> i <br /> ❑ AA TTOO11 WASTE FACILITY 73PU13UC WATER SYSTEM ❑ OTHER (PLEASE SPECIFY ABOVE) <br /> a <br /> 1 . List up to ten addresses in the space above. Select the type(s) of tiles from the list above by Checking <br /> the appropriate box(es). At least one file type MUST be_selected . Fax t (209) 464-0138 or mail to the <br /> address indigated above. <br /> 2. EHD will notify the applicant if any EHD 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 Elle that is actively being worked on by EHD staff may not be Immediately available for review. A new <br /> application may be submitted when the rile is available. <br /> 4. Any fila not returned in the same condition as released will be reorganized by EHD 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 EHD staff. <br /> 6. Applications received after 3:00 pm wit] be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NQ REVIEW DATE <br /> f <br /> ,b <br />