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SAN J_ _ . : _ _. . .. .. .�.... . i✓ <br /> OAQI COUNTYPUBL.IC riFALTH SERVI S <br /> E64VITONMENTAL HEALTH DIVISION <br /> 3b4 EAST WE13ER AVENUE,THIRD FLOOR �!)�Y <br /> STOCKTON CA 95202 3 0 2001 <br /> (209)468-34= <br /> PUBLIC) RECORDS RELEASE APPLICATION <br /> APPLICANT T02Y'jC4a- BAJ 5 UUSINESSIAGENCY A Gc, <br /> ADDRESS_ Iu�LLIit''L TUI~ l --- ---.- ��� <br /> PHONE- 9)0- 4-IlS)' �'1� FACSIMILE SIv- 1J��- r 4oli e <br /> ! TENTATIVEAAPPOINTMENTDIATE CTV�� �t✓ TIME 10 <br /> (Please QtNo 7�to 10 business days from date of apphcatian suhminai) <br /> l,IV17-5 3, <br /> CHECK BOX TO EXPEDITtRE4UE$T-$a7.D0 FEE-RRERUEST PROCE55ED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT T_ �^ ! =— DATE 5/3o/Li _ <br /> FILE ADDRESS THIS BIDE END STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH O <br /> �luv5 - s Entoaii✓r a as ! a , 23 <br /> _- -K343 >;a+-5�' .��r S�'n:r<5r ;�-fur✓k-}+>N�311 .x380, 9oi,a o � 99.. . <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> Ifl UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> to 07KE0.CLEANUP SITE tNON-LOP) ❑ MOEI FACILITY u SOLID WASTE VEHICLE <br /> t3A ,UNOERGROUND TANK tMONfrORINGREIKOVAL) ❑ DOG KENNEL 0 DAIRY <br /> �+HArARUOU5 WASTE GENERATOR0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> u TIERED PERMITTED FACILITY , ❑ MOTELIHOTEL ❑ PUMPEK TRUCWARDICHEM TOILETS <br /> ❑ TATTOOJSODT PURCING 0 POCUSPA 0 LAND USE APPUCATiON SITES <br /> ❑ MEOICAI.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 tiles from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to f2gy}x64:0138 ar mail to the <br /> address indicated above. `. <br /> 2, ; EHD will notify the applicant if any EHD fifes exist. An appointment far review will be confirmed <br /> approximately five business days but no later than ten (10)days after receipt of application. The files <br /> will he held for a maximum iof five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that ix actively being worked on by EHD staff may not be immediately available for review. A new <br /> appiteation may be submlttbd when the file is available. <br /> 4. Any rite not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future filed reviews by the same applicant may require a$87.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment ates must be confirmed with FFID staff. <br /> 6. Applications received after 3.00 pm will be processed the next business day. <br /> 1 <br /> CQNFlRPNED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> aF'vinwcn <br />