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SAN J G)UtN COUNTYYUt3L1C HEAL"fH Sf IICI <br /> 6&a l 3 <br /> -�NVIRONMENTALHEALTH DIVIS1Ohr-- 00 056 <br /> 3114 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> (' PUBLIC RECORDS RELEASE/APPLICATION I ' <br /> APPLICANT G�OV( CIS Pie' "7 BUSWESSIAGENCY A(-L �-�Jtt'i7�H'IC�Ty� (..CdIS•U <br /> T" <br /> ADDRESS 7- p ,(�,--,PNONF S(� y30 ' �TU� `FACSIMILE CD - C • <br /> Aft <br /> TENTATIIIE'APPOINTUFNTOATE 24-1 ;, 'CY0 TIME ID. <br /> _ <br /> (Please give I to tU hUslnass days frfNn date of application auMnM1WI) <br /> CHECK BOX TO EXPEDITE REQUEST;S7jlW FEE-REQUEST PROCF,SFU IN 1 DUSWESS DAYS <br /> SIGNATURE OF APPLICANT y`T-�— ' DATE Z �� <br /> FILE ADDRESS <br /> r <br /> LAI, - t <br /> 15C> <br /> S e. of/_s <br /> -- -- rMIR ffilD <br /> ENVIRONMENTAL HEALTH DNISION FILES <br /> UNDERGROUND TANK(USI)CLEANUP SITE(LOP) 173D HOUSING ABATEMENT CI SOLWASTE FACILITY <br /> MAR -3 260(1 <br /> OTHER CLEANUP SITE(NON-LOP) 0 fOOU FACILITY 17 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MOWTOWNGIREMOVAL) d nOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR IM CHICKEN RANCK 0 PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEUHOTEL LS PUMPER TRUCKWARMCHEH TOILETS <br /> 13 TATTOO/BODY PEIRCING ❑ PCOLrSPA d LANA USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM a OTHER(PLEASE SPECIFY ABOVE) <br /> T• List up to tan addresses in the space above. Select the types)of f+les from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fez to(209)604-0138 or mail to The <br /> address indicates Above. <br /> 2. E"D will notify the applicant if any ENO files exist. An appointment for review will he 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. A new <br /> application may he 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 /> s. TENTATIVE appointment dates must be confirmed with EHD staff. <br /> (i, 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 /> R Bo H at_E <br /> TOTAL P.OR <br />