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JUN-01--2000 15:24 WOODWARD-CLYDE CDNaJLTF HT 510 874 3268 P.02/02 <br /> ZiPl NV . IAV 114 t.*V V 174 1 irunL, r's=JKL.InV1%er_Q <br /> MViRONMENTAL HEALTH DIVISJ011 <br /> 3(>1 EAST WEDER AVENUE, THIRD FLOOR <br /> STOCKTON CA 9 5202 <br /> (209)466-342 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �PPLIGAN'[' SJPJFSSIAGt:NGY <br /> DDREsS <br /> 4fFH03,EET1 0 FACSIMILE <br /> ' TENTATIVE•APPOINTMENTt7ATE d <br /> Q � Ti , �d <br /> � I <br /> (A1raI:.�Sivc 7 bo'I�b in s dura tram d to of ap�li�alibr,5ubmiie3l) <br /> ' CKECK SOX TO EXPECITE RZQUE.WT-,U8.Q_ G FEEE-RECIUE5T FROGES ED IN J BUSINES6 DAYS <br /> ISIGNATLIRE OF APPLJCANT - DATE QS& kc). <br /> PJLE ADDRESS F.f THIS SIDE EHD STAFF DISE ONLY <br /> T*(R PROGRAM ELEMENTS SEARCH <br /> $g ICG 6.OU+0Xr'X rdM[ �• <br /> M�+siia M+3r F'. f� S• iEti o,J 2 <br /> A_j i /1q f 15 . Si L-,t,0.A r`e!YAk} <br /> TING 10 wiC.5oN �- <br /> ! Oar,4 190 - S. ii,50P of �. <br /> 9s-;L- $• w G 3 aI.! <br /> Ca . l 9 a 5' C4++�L76-9- ! <br /> ENVIRONMENTAL HEALTH DIVISION FIL FS <br /> i <br /> r•i 9, UMOERGROUNC TANK{UST)CLEANUP SITE(LOP) ID HOUSINGA5ATE ENT M SOL10 FACILNY <br /> ±� OTHER CLEANUP SITE(NOK-1-OP) 17 FOOD FACILITY Q S01JD WASTE YEKICLE <br /> •)$ 1.144D AG.RQUINDTANK(htONrroRit G/FVmQVAi.1 M DoG KLNN94 0 DAIRY <br /> i In HAZARDOUS WASTF GE:NBRATOP Q CHICKEN RANCH 0 PK0 TRCATMIENT PLANT <br /> 10 TLERED PFRI,'FT?I1 FAMIIJ VY ❑ morELJHOTEk- 0 PUMPF-R T;WCKIYARofr_HElII TOIL. <br /> T r�'lF,CE�G Q Pa4115PA 4 LAND USE APPLICATION 51TEs <br /> E,---?ALIT'Y ❑ PU8LIrU WATER YSTr=M Ll MER P-LeA.S>_SPECIFY ASOVS) <br /> 7. 1_ist Up to ten addresses irk the space above. Select the type(s) of files from the list above by checking <br /> the appropriate boxies). At least one file type MUST be selected. Fax to[2091464-0138 or mail to the <br /> { addres3 indicated above, <br /> i 2. EHV will notify the applicant if aSy EHD-files exist. An appointment for review will be confirmed <br /> approximatcly five business days but no later than ten(10)days attar receipt of application.'Tile files <br /> Will be held far a maximum of five business days for review. Appointments SACUld be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff rnay riot be immediately available Ior review. Anew <br /> dpplication may be submitted when the Rio is avails le. <br /> 4. Any file not returned in the same condition as raleas d will be reorganized by EHD staff at the expense <br /> of the applicant. Future rie reviews by the same applicant may require a$78.00 dCPO$it Prior to review. <br /> '8• 'TENTATIVE appointment dates must be confirmed wilb EHD staff. <br /> 6. Applications recelveO atter 3,Da past will be proca"ed the next business day. <br /> [CONFIRMED APPOII+tMENT DAVETIME <br /> l=1RMED PHONE, FAX INiTIA,LS <br /> YES NO R VIEW DATE <br /> ,oa <br /> TGTPL F.01 <br /> TOTAL, P.02 <br />