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I,i . . ..d -1171U1 <br /> 'CVW �laro Boa xuussw <br /> IC HEAL1 SERVICES COUNTYPUBLt/f <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> !. ! STOCKTON CA 85202 <br /> (209)4611-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ANT Z�44IA444t2e-. 9USINE58/AGENCY �i/Is ,�L L>/A" yes f✓OMwA.iM <br /> SZGd+ �1o�E✓{cs Cc%4�s �A L7.a,4y!' 04 9542$ <br /> `1/4r ` Lam_ 458 FACSIMILE !2z& <br /> TENTATIVE'APPONTMENT DATE TIME <br /> r (Please plus f tp 10 businsis days from date or spplieailon su.mlmQ 20 <br /> 0 <br /> i <br /> ECK BOX TO EXPEDITE REQUEST-$70.00 FEE—REQUEST PROCESSED IN 7 BUSINESS DAYS <br /> TURF OF APPLICANT f� , 'D e[r DATE /L> Fe�j GYM <br /> FILE ADDRESS <br /> •.i <br /> AW S-Aww*h <br /> EO CL- <br /> ENVIRONMENTAL HEALTH DIVISION FILES F t QQ_�O( <br /> ERGROUNO TANK(UST)CLEANUP SITE(LOP) 17 HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> ER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY O ,SOLID WASTE VEHICLE t <br /> ERGROUND TANK(MONITORING/REMOVAL) O DOG KENNEL O DAIRY rn;�..�_ <br /> OUS WASTE GENERATOR O CHICKEN RANCH O PKC TREATMENT PLANT <br /> D PERMrMI3 FACILITY ❑ MOTEUNOTEL ❑ PUMPIRTRUCKIYAROIGHEM TOILE-TO <br /> OOIBODY PETRCING ❑ POOUSPA 0 LANE)USE APPLICATION S(TEa <br /> P,-AL WASTE FACILITY C PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ASOVtt) <br /> { List up to ten addre"es In the apace Above. Select the typs(s) of files from the list above by eheckinC <br /> the appropriate box(aa). At least one file type MUST be selected. Far to f2091 46t-Of,Aj} t:r snail to tha <br /> address indicited above. <br /> 7 EHD will notify the applicant If any EHD files exisL An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3 A file that Is actively being worked on by END staff may not be immediately available for review. A rte, <br /> "5 application may be submitted When the NO 1$Availabie. <br /> 4 Any file not returned In the same condition as released will be reorganized by EH staff at the expens. <br /> of the applicant. Future file reviews by the same sppliCant may require a$7$.00 deposit prior to rovim <br /> 5 TENTATIVE appointment dates must be confirmed with ENO staff. <br /> t3 Applicadons received after 3:00 pm will be processed the next business day. <br /> IRMEP APPOINTMENT DATE TIME <br /> pg CONFIRMED PHONE FAX INITIALS <br /> R ED YES NQ REVIEW DATE _ __ _ <br />