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Feb. 09 2000 09:08RN F'2 <br /> t�I PH�7h;E 1`1-1- : 209 369 4228� .____- <br /> SA%—)AOUIN COUNTYPLIS UC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH OIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA OS2= <br /> W3)468-3420 <br /> PUBLIC RECORDS RELEASE APPL/IIC�A�T110N <br /> A'!?t.tLAI/T�'LI1lr W I Y 1 (QY\�RUaItIlST;AOC37(.-Y 11Y�.� �. TTI YI/.�'�-fiVL E �C C �._ <br /> A001tESS N. AnUunimn i pe <br /> PHONE ' �O - �j > 1 FAC9lM:LE <br /> TENTATNI:•APPOINTMENT UATZ <br /> IFlaas.plv¢7 to to 4useneat my,from oaA of aPpl�cTILM avan•Juall <br /> 73 CHFCK(LOX TO EXP"rre REQUEST-St0.00 Flit-REOr1EST pROCESSEO IN 7 alti,INFSS DAYS <br /> SIGNATURE OF APPLICANT �L.' I <br /> - -� - 4ATEi� <br /> c <br /> P14F AODRlSe <br /> - p A <br /> ENVIRONMENTALHEALTH DIVISIONFILES <br /> -,(_ �Ir U Il'D <br /> /- UNOER7R0UNn TANK IU3T)CLWANUP WE(LOPI ❑ HOU5INC ABATr..NENT ❑ SOLID WASTE FACIUTY � � 2lLOS�OO <br /> ❑ OTFIERriE uIPa"INON-LM 0 VOODFACUm Q SOLM%VA='cVENK:E.: FEB <br /> UNOliRGROUM TANK IMOreTORM!RWOVALa ❑ DOG KENNEL u Omey <br /> 12j,MAEAROOW VfAUTR G@1L'RATOR M CHrXEN P-MCIf M PKEI TREATMENT PLANT <br /> C `nUt!l PI?RMITTE)FAM-Y 0 MOTiti w m ❑ PUMPER TAUCKN&RO'CHEM TOILETS <br /> WTOOWDYPSMING f3 POOUSPA ❑ LAM USE APPLICAT,ON SIMS <br /> d -JLOICAL WA$TC rACUSTY .1. PUKLIC WATER SYSTEM ❑ OrAER(PLEASE SPEC.'FY AUOV27 <br /> 't. Wt Up t0 ten Addre¢tos in the space above. Selact the type(&)of flies from the Ilst above by chocking <br /> the appropriate box(es). At lead one file typo MUST be selected- Fp):t0(2D83S ores%to the <br /> SImmk indicated abgyg, <br /> 2. END WUl notify the applicant it ahY LH❑filen wdst. An appoinrmont!or revLo%v wUl ba conffrtned <br /> approximately five buslnoss days but n0 Tatar than ten(10)days after roccipt of appliestion. The files <br /> will be hold for a maximum of five buamess days for taview. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHU itaH may not be Immediately Avollable TOr roview. A new <br /> appliratiOn MAY be 3UbMitted When the rite is available. <br /> 4. Any file not returrled In tris same condition ee released wUl tae reorgantzed By EHD staff at the expense <br /> Of the applicimL Future file reviews by the tAmo applicant may require a Sn.00 depoait prior to rtrvlew_ <br /> S. 'TENTATIVE appointmont dates must be confirmed with END strttt, <br /> 6. Application,recehed abler 3:00 pm will ba processed the neXt business day. <br /> I CONFIRMED AppowTMENT DATE TIME 1 <br /> DA-7_E CONFIRMED _._ P140NE FAX INITIALS <br /> REV;Lymt) YES NO REVIEW DATE { <br /> �. rr <br /> TOTAL P.III <br />