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a. -I U UVj4LUJ Utll34 <br />BE3-16-2000 060 <br />Jli <br />DfTE StOfiy(p <br />' "A <br />FLO;,'I''"'Is <br />FRL%., <br />'I'EL:209 5- '104 <br />TO <br />VAQUIN COUNTYPUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 98202 <br />(209) 4883420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />N. 002 <br />5241 <br />fwpWGM2�5,15 <br />.,.. <br />A.y D�E2gl�rza r, 9USINESWAGENCY _Si' ,4, Jiv�a3f- <br />H �. ✓cr Qo <br />IAO. en >- <br />PFfONE _ZDy j,7y_zyry ILE FACSIMZ <br />i v i�ny <br />TIENTTATIVE APPOINTMENTDATE 13-2!-60 <br />TIME <br />i (Plaaza BlyO 7 to 10 6usine56 day. date at a <br />��' y/ Y YPllcation xubminal) <br />`-'^ CHECK BOX TO EXPEUrTE REQUEST- 5117.00 FEE — REQUEST <br />PROCESSED 1N 3 ausla�ss nnvc <br />P11 12: 18 <br />''''''CCC t_NVIRONMENTAL HEALTH DIVISION FILES <br />�ERERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br />CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY <br />�DERGROUND SANK (MONITORINGIREMOVAL) ❑ DOG KENNEL d SOUo WASTE VEHICLE <br />HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ DAIRY <br />4 TIEREO PERMiTMU FACILITY ❑ MOTEL/HOTEL ❑ PKG TREATMENT PLANT <br />❑ MEDICATATTOOL <br />WASBOOY E FACILITY <br />❑ POOLISPA - ❑ PUMPER TRUCKWARDICHEM TOILETS <br />❑ MEb1CAL WASTE FACILITY "l7 PUBLIC WATER SYSTEM 0 LAND USE APPLICATION SITES <br />OTHER (PLEASE SPECIFY ABOVE) <br />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 l209j 46q_Otgg or mall to the <br />address indicpted above <br />?• 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 recolpt 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 reviOW 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 b <br />Of the applicant. FUTUre file reviews by the same applicant may reorganized by EHD staff at the expense <br />5• `TENTATIVE appointment dates must be confirmed With y require a $87.00 deposit prior to review. <br />6, Applications received after 3.00 pm will be processed the f p t business day. <br />CONFIRMED APPOINTMENT DATE <br />DATE CONFIRMED <br />TIME <br />PHONE FAX <br />NO REVIEW DATE <br />INITIALS <br />