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(( i A <br /> L)AQUIN COUNT:YPUE3LICHZ'ALTH <br /> QF <br /> c <br /> 1ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> FEB 2001 STOCKTON CA 95202. <br /> (209)458-3420 <br /> PUBLIC RECORDS RELEASEAPP <br /> LICATION <br /> PEI /s , <br /> A LA k-cjl�v BUSINESSIAGENCY <br /> 77 �dC2,07jr <br /> od Iff <br /> A 39 - SAS <br /> PHONE f7-/ 9 <br /> —FACSIMILE VfA f7 -///Oo <br /> TENTATIVE*APPOINTMENT DATE_2, E91 �_L1)TIME f)-'J3 <br /> (PlOase give 7 to 10 business days from date cla0plir-atibn submittal) <br /> CHECK BOX TO EXPEDITE REQU T-S;ftaFEE-REQUE i PRO ESSW INOBUSINESS DAYS <br /> SIGNATURE OF APPLIGANT <br /> DATE L5 <br /> FILE ADDRESS <br /> A= r <br /> rT_ LIDy-9 <br /> I nii 1-Ko�7 �2' <br /> P4k I A <br /> C4 Ll 1,73 <br /> t/017r] <br /> r i j 1 7 <br /> ENVIRONMEN" AL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE;LOP} <br /> HOUSING ABATEMENT 10 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE INOWLOP) FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MON ITORINGIREM OVAL) UJ DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR M CHICKEN RANCH :i 1] FKG TREATMEN'f PLANT <br /> 0 TIERED PERMIT-TED FACILITY M tAOTEuHc)TF=L ij 0 PUMPER TRUCKfYAROICHEM TOILETS <br /> M TATT00iSODY PEIRCING 0 POOL)SPA LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 1 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1- List Up to ten addresses in the space above- Select the typo(S) of tiles from the List above by checking <br /> the appropriate box(es). At least one file type MUST be sel,6"etecL. "Fax to(M)464-0138 or mail to the <br /> address indicated above. ii! i <br /> 2. EH13 will notify the applicant If any EHD files exist- An appo'-Intmefit for review will be confirmed <br /> approximately five business days but no later than ten(10) bays after receipt of application. The files <br /> wilt be held for a maximum of flVe business days for review1 App6intments should bo scheduled <br /> accordingly. <br /> 3. A file that iz actively being worked on by EHIJ Staff may not.bO Immediately available for revl9w. A new <br /> applir-atlon may be submitted when the file is available. ii <br /> 4. Any file not returned in the same condition as released will be reorganized by EH13 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 EMD staff. <br /> 6. Applications received after 3:00 pm will be processed the next butiness day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW it DATE <br /> eh! DO 14 Ovismo <br />