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02/14/00 <br />JAI r RECEIVED <br />2: 3 -kX 916 552 7 080 LOCKWOOD C0NS : � <br />, <br />EHD lGG NUhi� - <br />3 <br />_ <br />SAN , iJIN G4HNTYPtJBLIG I11=►LTH VICES <br />C CHICKEN RANCH <br />10 PKG THEAT1ULKCT PLANT <br />\j <br />ENVIRONMENTAL HF-ALTH DIVISJOF% <br />I--] POOUSPA <br />0 LAND USE APPLICATION SITES <br />CI PUa1.IC WATER SYSTEM <br />304 EAST WEBER AVE NUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />a <br />..kW2Q= <br />(209) 468-3420 <br />G• y.� ,fi <br />PUBLIC RECORDS RELEASE APPLICATION <br />■-.a�� <br />APPLICANT _mill <br />LC& 1, U LALJ _ -- BUSINESS/AGENCY Laluond <br />ADDRESSh <br />PRONE j(L3 - <br />i,!SZ if'tlnf-) FACSIMILE gtII, L) <br />e <br />TENTATtVE`APPOINTMEP4TDATE ?-/M/CXJ _ TIME <br />(Please give 7 to 10 la"ncss days from date of applicatial subnsitta#) <br />L <br />CHECK BOX TO EXPEDITE REQUEST - $78.00 FEE -REQUEST PROCESSED :N 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT 4dLlsn L. 410%gM22L- - -- - DATE. <br />ENVIRONMErNTAL. HEALTH DIVISION FILES <br />W 4j'NOERGROUND TANK (UST) CLEANUP SITE (LOP) <br />VTHER CLEANUP SITE (NON -LOP] <br />DERGROUND TANK (MONrrORINGIREMOVAL) <br />0 HAZARDOUS WASTE GENERATOR <br />0 TIERED PERMITTED FACILITY <br />0 TATTOOiBODY PEIRCING <br />0 MEDICAL WASTE FACILITY <br />0 HOUSING ABATEMENT <br />._ isRM.. 1. fo� NWAAL <br />0 FOOD FACILITY <br />0 SOLID WASTE VEHICLE FEB 22 2000 <br />_ <br />171 DAIRY UU <br />C CHICKEN RANCH <br />10 PKG THEAT1ULKCT PLANT <br />1) MOTE'LIHOTEL <br />13 PUMPER TITUCKffARWCHEM TOILETS <br />I--] POOUSPA <br />0 LAND USE APPLICATION SITES <br />CI PUa1.IC WATER SYSTEM <br />0 OTHER (PLEASE SPECIFY ABOVE) <br />a <br />..kW2Q= <br />G• y.� ,fi <br />tea.- <br />■-.a�� <br />ENVIRONMErNTAL. HEALTH DIVISION FILES <br />W 4j'NOERGROUND TANK (UST) CLEANUP SITE (LOP) <br />VTHER CLEANUP SITE (NON -LOP] <br />DERGROUND TANK (MONrrORINGIREMOVAL) <br />0 HAZARDOUS WASTE GENERATOR <br />0 TIERED PERMITTED FACILITY <br />0 TATTOOiBODY PEIRCING <br />0 MEDICAL WASTE FACILITY <br />0 HOUSING ABATEMENT <br />171 SOLID WASTE FACILITY <br />0 FOOD FACILITY <br />0 SOLID WASTE VEHICLE FEB 22 2000 <br />DOG KENNEL <br />171 DAIRY UU <br />C CHICKEN RANCH <br />10 PKG THEAT1ULKCT PLANT <br />1) MOTE'LIHOTEL <br />13 PUMPER TITUCKffARWCHEM TOILETS <br />I--] POOUSPA <br />0 LAND USE APPLICATION SITES <br />CI PUa1.IC WATER SYSTEM <br />0 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 1249 +464-0138 or mail to 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 files <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, Anew <br />application may bo 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 $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, <br />CONFIRMED APPOINTMENT DATE TIME <br />DATE CONFIRMED PHONE FAX INITIALS <br />REVIEWED YES NO REVIEW DATE <br />EH 0o 14 fiiASlW <br />