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0271.7PIM FRC" - TO S. 1923243GGG3 P.02 <br />,,,.... <br />AN JIN'COENTBLICDH SERVICES <br />y ENVIRONAL HE <br />ALTH v <br />304 EAST WE3ER AVENUE, THIRD FLOOR <br />AUG Q $ 2004 <br />STOCKTON CA 95202 468-3420 I _� 2 <br />ENO— NMEN7+1EA1.7F{ PUBUO RECORDS RELEASE APPLICATION <br />PERL41TI111-1 .,. <br />FACSIMILE$Y.i — (0 <br />'PF.NTAT)VE"APPOINTMENTDATE 1S /�. 0Y � � TWC U r <br />•111 . n I� .t (Please ylive 7 b 70 bu.incu days Ilam date of applie9lion aubmi6) 10 <br />1�i �/�REQUEST. 3� FEE— UFST CESS 0013BUSINESS DAYS / <br />uA <br />SiGi:P.' y RE OF APFU ANT DATC <br />5109 ENO STAFF USE ONL1 <br />GRAM ELC•MENT$$EARCH <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />E UNCE GI(OUND TANK NST) CLEANUP S)TB (LOP) O! HousiNG ABATEMENT ❑ SCUD 1NAS'rt FACIU�Y <br />OTNt CLEANUP SITE (NOK -LOP) CIFOOD FACILITY E3SOLID WAS tE vF,{UCt <br />UNDPIiGROUNDTANK1MONrroAxmwkENIovAQ O BOG KENNEL n DAIRY <br />,�.•_ _ S ryASTE GENERATOR O CHICKEN RANCH O PK4 TREATMENT PIANT <br />-r ^^�_:t:.;"Y�� cAC1!JTT O MOTIELIH I. O PUMP"TRUC=ARDICHEM TOILETS <br />N6 ❑ POOUSpA "• ❑ i.ANOUSGAPPLICATIONSITE$ <br />WAST;' fA=rry D PUd4C WATER SYS.TI!M O OTHER (PLLASE SPECIFY ABOVE) <br />? I Lis¢ up to ten addresses in th@ space above. Select the type(s) of riles from the list apovc by checking <br />tfie approprlato box(es). Atldast one rile type MUST be selected. Fax to (,209) 464-0138 or mail to the <br />z:aSress 1ndTcated above,, <br />N;:;+otJfy the applicant If any EHO files exist. Anappo(ntment for review wilt be confurnod <br />^ x(m tcly rive husfnesj days but no tater than tbn (10) days after receipt of application. -The filas <br />I will De held for a max(m=of five business days for review. Appointments should he scheduled <br />accordingly: <br />A file thatis activalq tieing WorKed on by ENO staff may not ba immediately avaliable for review,'A now <br />su>lication may be SUtlm7tt6d when the file is available. <br />A -y ;;lc not roturnod is W4'same condition as releases WIN bo reorganixod by EHD staff at the expense <br />'` _p�ticant Future fild reviews by the same applicant may require a $87.00 deposit prior to r ew. <br />s. 'TENTATIVE appointment 4atas must be confirmed with EHD staff. t <br />6. gpp(ieat(ons received after',3.00 pm will be proco$scd the next business d$y <br />"'! APPOINTMENT DATt TIME <br />l DATE C NFIRMED PHONE FAX <br />INITIALS <br />. ✓1vJutD - f yes NO R>wrmvnnrc <br />TOTAL P.02 <br />