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NOR Environmental PHONE NO. : 209 369 4228 Dec. 23 2002 12:24PM P2 <br /> EHO 4OC N U80k <br /> �. SAN �.�w-,QUIN COUNTYPU13LIC HEALTH SL.XICES <br /> lelf 1�' Vl%�frTH v� 04EASpT,W BERAYENUMENTAL LTHIRDFLOi <br /> �� ON <br /> OR <br /> Dt C 2 3STOCKTON CA 95202 <br /> 2002 (209)468.3420 10 941 <br /> r11/iRr ;,,, PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT l� , /� 1 i'': BUSINESSIAGENCY��/ ✓l U�r o ri ar�f a <br /> ADDRESS l� • - 7Q <br /> PHONE FACSIMILEk <br /> TENTATIVE'APPOINTMENT DATE ^ to Z 60 3T1r�E !1 `-a� 7 5 <br /> (Pleaso give 7 to 10 bushes&days from data of applicatlon submittal) <br /> i <br /> CHECK BOX TO EXPEDITE REQUEST-589.00 FFE—RE STP OCESSED IN 3$USINESS DAIW <br /> SIGNATURE OF APPLICANT - DATE 17— <br /> FILE <br /> ZFILE ADDRESS THIS SIDE EHD STAFF ttSE:ONLY <br /> PROGRAM 171 FMENTS SEARCH <br /> 1 O <br /> 3 S. <br /> 4 Lt <br /> cA <br /> err <br /> L o <br /> 7 5Ll O <br /> � Lod- <br /> q col�e_tZ LA, <br /> � V V _ <br /> I„Cf �PpfL pc.iK+i S <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> W UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING AAATrrMEW ❑ SOUD WASTE FACILITY <br /> W OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> X UNDERGROUND TANK(MONITORINCIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> W HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> 0 TATTOOBODY PE:IRCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM tR OTHER(PLEASE SPECIFY ADOVL7------t <br /> 1- List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the <br /> address indicated above. <br /> 2- EHD will notify the applicant if any EHD files exist. An appointment for review will be 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 be 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 $89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3:00 pm will be processed the next business day. <br /> r <br /> CONFIRMED APPOINTMENT DATE, TIME <br /> OATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> — -- — <br />