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BB-14-2MI e912EPI FRQ11-.L, <br /> S <br /> SAN . OI7 QUIN COUNTYPUBLIC HEALTH SERVICES I. ENVIRONMENTAL. HEALTH DIVISION <br /> U'G Z Q 2OuI 304 EAST WEBER AVENUE,THIRD FLOOR J <br /> STOOKTON CA 95202 <br /> E i (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ADORES ��:TT J :771 R lS�• �SqA'�-•171 �'IC� 1�Sf.1 IL_Y IL-� �(,/( r���s.�' <br /> PHONE ! B%Lpr'� -91 16 FACSIMILE q`�-p- '&g 2-�ti 1]�Z <br /> .TENTATIVE'APPOtNT9ERT DATE TIME <br /> (plea :Vyo 7 to t0 by.:Ulaaa days rraln data or application svbrmltwl <br /> CHELCK eOX 70,E-7(PEqrrE REgVEST- 1.0 PEE-RJ:Ql7E5TP I CI�SSEIYM 3 aU5iNE55 BAYS UG 2 <br /> SIGNAr URE OF APPLICANT ] r DATE ?>-I <br /> i <br /> FILE AUORESs TNtS SIDE END 5TAFF VSE ONLY <br /> PRgGPAM ELE6tSNTS SeARCH <br /> n \111011 prim <br /> GaZI Ck — _ <br /> o <br /> Z~C) IJ nnn <br /> �u 0k Mae ll�N <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> SOUO WA-1Tr:FACIUTT <br /> VNOIRGROUND TANK LUST)GLEANV P.5 (LOP) t7 HOUSINGAaATEMEN7 4 <br /> OTHER ,1; VP SITE(NOH•LOP) - D r•000 PAC XrY <br /> rrESCUD WASTE VEHICLE <br /> Y1,14 GROUND TANK(MONrTORINGIREMOVAL) D DOG KENNEL O DAIRY <br /> HHAAZ74MfiOOVA WASTE GENERATOR CI CHIGIOENRANCIi O PKGTREATMEHT PLANT <br /> 1,n0r,tO!PERwrM,DFACILITY D a10TEUHOTEL O PUMPERTRVCKrYARD#CHEMTOILETS <br /> D TA OWBODY cmr. O POOUSPA •-- O LAND USE APFUCATLON SITES <br /> C) MED�C WASTE FACILITY O PUMJCWATFAsYSTEM Q OTHER(PLEASlt SPECIFYADOVE) <br /> 1. i .List up to ton addresses in the space above. Solect the type(s) of flies from the list above by checking <br /> _the appropriate box(ep). At least one file type MUST be selected. Fax 9)464.0130 or maiLto thg <br /> :addreAz indicated above. <br /> 2, j END will notify the applicant if any EHD files oxist An appointment for review will be confirmed , <br /> I .approximately five business days but no later than ton(10)days attar receipt of application.-The Was <br /> will be.hold for a maximum of five business days for raviow_ Appointments should be schcdulod <br /> accordingly_ - <br /> 3. A file that is actively being workod an by FHD staff may notbe immadialely available for review. A now <br /> 4. Iapplicatlon may be submitted when Via fie is available. <br /> Any filo not returned in the same condition as roloased will be reorganized by EHD staff at the expense <br /> of the AppttcanL Future filo reviews by the same applicant may require a$87,00 deposit prior to review. <br /> 5. I 'TENTATIVE appointment dates must be uonfimtad with END staff_ <br /> B Applications received after 3:00 pre will be processed the noxt business day, <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE PAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />