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07/10/00 MON 16;10 FAX 209 9es 062.1. Sr,4,`iANEN'10 �JuUC <br /> 0-M� TL] 17074254162 P.02 <br /> riHouMMu►we+ <br /> SAN J4 QUIN COUNTYPt1BUC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> AUG 2 9 2000 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> ENVIRONMENT HI&LTH (209)4ea4420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AP IC H BUSINEWAOENCY — <br /> AW REESSf <br /> O FACSIMILE 3 -..,� <br /> „PAONE y <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> cellon submitta <br /> (Please 9"7 to 10 busine"days from data of aPPM <br /> 0 E <br /> CHECK BOX TO EXPEDITE RQU -SMW —RE IN <br /> EST PROCESiED IN 3 BUSESS'PAYS <br /> SIGNATURE OF APPUCANT DATE <br /> FILE ADDRESS <br /> z 2 <br /> C) <br /> ;i z <br /> ,z 1 <br /> ENVIROIIMENTAL HEALTH 01VISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LAP) 0 ROUSING ABATEMENT lid GOUD WASTE FACtLJTY <br /> OTHER CLEANUP SITE(NON4") d FOOD FACILITY d SOLID WASTE VEMtCLE <br /> '4 UNDERGROUND TANK(MONITORINraniemOVAL) O DW KENNEL DAIIi7 <br /> )d tiA7ARDOUs WASTE GENERATOR ❑ CHICKEN RANCH PK6 TREATMENT PLANT <br /> 7dI TIERED PER>41tTTED FACILITY 0 c,IOTELn*) EL PUMPER TRUCK/YARDICHEY TOILETS <br /> ❑ TATTOO/t300Y PE{RCINti CI POOLMPA LAND Use APPLICATION erns <br /> D MEDICAL WASTE FACILITY inPUBLIC Wt7 ATER SYSTEM OTHER(PLEASE SPECIFY ABOVE) <br /> S. List up to ten addresses in the space above. $elect the typo{s)of files from the list above by cllecking� <br /> the appropriate box(es). At least one file type MUST be aelaCted. <br /> VAX 19(2001 464!MM gr m0di thm,address lndi�7ted above. <br /> 2. EHD will notify the applicant if any EHD riles 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 lila reviews by the same applicant may require in$78.00 deposit prior to review. ar <br /> 5. "TENTATIVE appolnWwnt dates must be Confirmed with EHD staff. <br /> 6. Applications received after 3:00 prn will be processed the next business day. <br /> CONFIRMED APPfaINtTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIAL'S <br /> REVIEWED YES NO REVIEW DATE <br /> cn oo S. o <br /> TQTRL P.02 <br />