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02.114/0 0 12:37 FAX 91b 652 7060 I.DCKWOOD CONSI:rG F t)i <br /> uhT t fiEGtIVED EHJ LOG NUMEi <br /> SAN J, .11JIN COUNTYPUBLIC HEALTH S /ICES L164W 3 <br /> V ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT _MltirLC LEX IILtu0!�c1� ___BUSINESSIAGfNCY � C(0110EYJl f cline ulT4irlGi <br /> ADDRESS 65bQ Cn11 TCfL Ljkrtie Lja iTr i&U LA <br /> PHONE FACSIMILE CU 6 ~(p —jr i-n <br /> TENTATIVE*APPOINTMENT DATE TiME <br /> (Pleasa give 7 to 10 business days from data of application su4mittai)El I <br /> CHECK BOX TO EXPEDITE REQUEST-$7S.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Z4k29/,," &7%d DATE 41b P4.ave <br /> I <br /> FILE ADDRESS <br /> za. <br /> v <br /> _3o4 9 W, 14wq I �I <br /> SM E. . H Wy 12- !_t�1rC1n - how 8 K�i�le <br /> ofVtq 1Z LrA it r t — no w Q44 l <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> �THER CLEANNUP TANK <br /> (NON-LOLL UP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY FEB 2 2 <br /> 0� ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE 2000 <br /> 19 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH C3 PKG TREATMENT PLANT <br /> ❑ TIERED PERIAITTED FACILITY G MOTE'LIHOTEL ❑ PUMPER TRUCWYARDICHEM TOLETS <br /> O TATTOGOODY PEIRCING ❑ POOUSPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY ABOVE) <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 $78.00 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EH 0f 14 01005/00 <br />