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11 <br /> SAN QUIN COUNTYPUHLIC HEALTH VICES � / <br /> CNVIRONMENTAL HEALTH DIVISIUN 01 <br /> MAYZ I�1 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> cFL'H PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT BBUSINE/SSIAGENCY CC> ?CfoY L CG,l-tf7 rCuWi �o p." J_cx,_-74_. <br /> V <br /> PHONE �D9" �5�^ U..�/_B FACSIMILE y�'r�5 <br /> TENTATIVE"APPOINTMENT DATE 7/0 I TIME /O: of ll <br /> (Pleme give 7 to 10 business days from date arapplic tiw ulbmittal) <br /> CHECK 13OXTO EXPEDITE REQUEST-$ 7.00 FEE–REQUEST PROCESSED INS BUSINESS DAYS y <br /> SIGNATURE OF APPLICANT �� DATE <br /> FILE ADDRESS J�'—^�•— THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> S� u `4 102 <br /> o W, Le c � kf ro l <br /> o I c j"-, c NIL_ <br /> 24Lo y 3 <br /> 1 v rn X47, 2391, ZZ/3. 399.23 o Z 80,4 V,30 <br /> 2227 <br /> 7 , C � ro • N(i ,22�.�o <br /> lvse 17 a224, 39 <br /> 1 ss >7! , L t f%ve LV14- Q <br /> 0 •� <br /> 1 <br /> �,/' ENVIRONMENTAL HEALTH DIVISION FILES MAY 11 2001 _A <br /> yw.UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT K SOLID WASTE FACILITY <br /> '$OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY C1 SOLID WASTE VEHICLE <br /> XUNDERGROUND TANK imoNrrOR(NG/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> X HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT %40 <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEL)HOTEL ❑ PUMPER TRUCKIYARDJCHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ POOLISPA ' ' PC LAND USE APPLICATION STIES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1, List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail tp.the <br /> address indicated 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 tiles <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file 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 file is available. <br /> 4. Any file 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$87.00 deposit prior to review. <br /> S. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />