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12-422-1999 04:21PM Fl TO t415884330U V.U-1 <br /> V DATe aESf+wEA EnOIOGhWill <br /> SAN teAQUIN COUNTYPUSLIC HEALTH S"lICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR �C i <br /> s OCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION _ <br /> V <br /> APpucANT /�t 1aN5ff i-,L LAMI 16UStNeWIAOENLY Y/trrt��DiVg6 �Aw��N 1�S �f B7�S <br /> ADDRESS LID D16�L :Ll uC / oyd—m� <br /> 5(15 88 -3ao! FACSIMILE �flsl�fi�/-330 <br /> rnune !� <br /> 1Lt ES 'f T4iulCS MDtiI w�Ioy _[ Q/� <br /> TENTATIVE APPOINTMENT DATE 19,I y k:7 j 1�-tJ3 I�T7uE <br /> (pisab0III Ito 19 boAn"s Cal Rom able of appiloeaon bubmmr) <br /> -)f,Pill gLr�eNh7ly� SAS <br /> In CHECK BOX TO WEDITE REQVrri -REQUEST PRO6E55 O IN a BU31MR34 DAYS <br /> SIGNATURE OF APPLICANT DATE -� '� 9-97 <br /> r <br /> FILE ADDRESS <br /> t E - (.LST EMU V L- <br /> Y 1UE TC�GKTbhI - Il Co rr-5> " r.s <br /> 1 V xP_1V - SZ 1, i oN !_WST L1+6T - <br /> 2lUu-' TaL(C c�N LLS C kx SE f <br /> J 733 1 ILLIt 15-Fi- Gu Sr Ti SE <br /> //-- ENVIRONMENTAL HEALTH DIVISION FILES <br /> m'13NDERGROUND TANK(UST)CIXAHUP SITE Ill 0 HOUSING ABATEMENT 11 SOLID WASTE FACILnY <br /> OOYY}THER CLEANUP 8176(NON-LOP) ❑ FOOD FACILITY O SOLID WASTE\'Mrt-! <br /> Or U14D£RGROVND TANK OWWORING1RENOVAL) O 000 KENNEL Cl PAIRY <br /> O HAZARDOUS W.AMM GENERATOR O CHICKEN RANCH d PKG TRPATMENT PLANT <br /> ❑ TKRRED PERMITTED FACILITY O MOTCLlHDTEL C PUMPER TRUCWYARDfi TOILETS <br /> C1 TATTOOIDODY PEIRCIN6 O POOVSPA 4 LAND U59 APPLICATION SITES <br /> 6 MEDICAL WAST!PACILRY E3 PUBLIC WATER SYSTEM 0 OTHER(PLEAS&Sill ABOVE) <br /> 1. Lint up to ten addresses In the space above. 3e1Bct the types)of files from tha list above by checking <br /> the appropriate box(es). At bask ane file type MUST be selacted. Fax to(209)04-0.1.Z# mail to the <br /> addrtss indicated above <br /> 2. EHD will notify the applicant ti any Eli tiles exist An appointment for review will be confirmed <br /> approximately Me business days but no later than ten(10)days after reealpt of application. The files <br /> will be held for a maximum of fire business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by END staff may not be immedlatety available for review. A now <br /> application may be submitted when the filo Is available. <br /> 4. Any fill&not returned in the same Condition as released will be reorganized by END staff at the oxpenae <br /> Of the applicant. FVture file reviews by the Same applicant may require a$78.00 deposit prior to review. <br /> a, 'TENTATIVE appointment dates must be confirmed with END staff. <br /> S. Applications received after 3_00 pm will be processed the nal business day. <br /> 1'. <br /> y� . RwRIMIRM <br /> s :.il'.E�x3+.i:. ,.s _t _....,�"IaPx ...�.. 3 : v. EVI�,V7,q,�tTE:.' _ <br /> TDTAL P.02 <br /> ��� QA c'61'� rD--/Io/ <--::) L7 <br />