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Jan- 12-00 02:32A Neil O_ Anderson & Assoc_ 916 929 9269 P _01 <br /> Ill-ld-zU�yl 1_: :W 1; b I U <br /> v ljl bti_'97GO`J F,IJz <br /> SA AQUIN COUNTYPUBLIC IiEALTH 60ICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202(209)468-M20 <br /> C <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT / ` BUSINESSIAGENCY 1J(J. <br /> ADDRESS4 <br /> _n ��ag fl b <br /> PHONE C -9 — FACSIMILE_ <br /> TENTATIVE*APPOINTMENT DATE___ TIME <br /> ase <br /> (PkSire 7 to t0 bo.ineas day.from List,of application auCmitml) <br /> CHECK BOX TO r XPWrTE REQUEST-378.00 FEE-REQUEST PROCESSED el 9 BUSIME35 DAYS _ <br /> SIGNATURE OF APPLICANT { <br /> _ A_a �O �p j � DATE <br /> FILE ADDRESS _-- <br /> r <br /> V <br /> L <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> dUNOERGROUND TANK JUST)CLEANUP SIT-,(LOP) 0 HOUSING ABATEMENT C3 90UD WASTE FACILITY <br /> OTHER CLEANUP 517E(NON-Lop) ❑ FOOD FACILITY D SOUO WASTE VEHICLE <br /> JUNDERGROUND TANK(MONRORINWREMOVAL) 0 DOG KENNEL 13 DAIRY <br /> 1d HA7AROWS WASTE GENERATOR O CHICKEN RANCH• TR FACnITY O PKG TREATMENT PLANT <br /> • TATToomOyPeiRCNG EUHOTEL Cl PUMPER TRUCKIYAROICH <br /> EM TOILETS <br /> 0 POOLISPA C LAND USE APPLICAT'.ON SITES <br /> C3 MEDICAL WASTE FACUTY 0 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses In the space above, Select the typo(s)of files from the list above by checking <br /> the appropriate b"Ls). At least one file type MUST be selected. Fax to(20$)464.0138 or mail to the <br /> address indicated abov <br /> 2. EHD will notify the applicant if any END 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 held for a maximum Of five business days for review, Appointments should he 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 /> appfiGation 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 revlows by the same apPllcant 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 will be processed the next business day. ��11 <br /> CONFIRMED APPoiNTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> ip <br /> r corp p� ��yy <br /> j},� 1VED TOTAL P.02 <br /> JAN 1 JAN 12 2000 <br /> r' <br /> NVIRUNIViCi JA_ HEALTH <br /> �� ne� L6llflx _13_ PERMIT / SERVICES <br />