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OS/22(0 LI 10:04 Al 916 366 7019 FLEINFELDER 4h 002 <br />!IZAL'V IQ 003 <br />o.re aKgrvEa e , . _ IR,Eu <br />SAN JOAQUI 6/,a.L"''.■�•tl■L <br />ENVIRONMENTAL_ HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />N1AY 7 2003 srocttreaN ea 9e2oz <br />(209) 468-3420 13oq <br />•` r ., 11, PUBLIC RECORDS RELEASE APPLICAI TON <br />APPLICANT <br />BUSIHCSSIAGENCY ) P[ VII.'�1/�"V.„L4. <br />ADDRESS ipJy I! 1 r11c 1, IYQL(_t <br />PHONE_- FACSIMILE <br />TENTATIVE'APPOINTMENTOATE& <br />(Pleas. give 7 to 10 business days from date or appliuhYn ZilmlUal) <br />CHECK BOX 7D t7tpEDITE REDUEa^T. $'$7'.00 FEE - R1-:QI/ 5T "ROOESSED IN ] BUSINESS DAYS <br />SIGNATURE OF APPLICANT (/ ( U)a/ DA7G C ' <br />SEARCH <br />-IIIAIJ WIIA.Qy1AV1 .'rfty- � - — I �;w L <br />HU -3 <br />," 2003 ENVIRONMENTAL HEALTH DMS <br />X( UNDERGROUND TANK (VST) CLEANUP SITE (LOP) 0 HOUSING ABATEMENT <br />)9,41THER CLEANUP WTE(NON-LOP) ❑ <br />FOOD FACILR7 1 !V) <br />,V& UNDERGROUND TANK (MONMORINGIMMOVAL) ❑ DOG KENNEL <br />HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH <br />it TIERED PERMITTED FACILITY 0MOTEl1HOTEL <br />13TATruCIBOOTPEIRCING b•POOUSP4 - <br />❑ MEOICAL WASTE FACILrIY O PUBLIC WATER SYSTEM <br />1. List up to ten addresses in the space above.: elect the type <br />the appropriate box(es). At least one file type MUST bn selel <br />address indicated above. <br />2. EHD will notify the applicant If any EHD files exist. An appol _........ __ <br />approximately five business days but no later than ten (10) days after re,:!e)pt *'; appfieatlon. 1(he files <br />will be held for a maximum of five business days for review. Appointmenb: should bo scheduled <br />accordingly. <br />3. A filo that is actlVely being warped on by L'HD ;tall may not be Immedlatnly available for review. A new <br />Application may be submitted when the file is avallable. <br />4. Any file not returned In the same condition as released will be reorganized by I -HD staff at the expense <br />of the applicant. Future file reviews by the same applicant may require 7I $117.01) delposit prior to reviewv, <br />5. 'TENTATIVE appointment dates must be <br />confirmed with EHD staff. <br />6. Applicatlons received after 3:00 pm will bio processed the netts business di,y. <br />CONFIRMED APPOINTMENT DATE TIME <br />DATE CONFIRMED PHONE FAX INITIALS <br />REVIEWED YES NO REVIEW DATE <br />