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-- 10/13/2002 23:37 17078773276 ANTON GEOLOGICAL PAGE 02/02 <br /> U5-Fi4- jl c7y:-�SHf t '� lu lrortr,','kYb r.UL <br /> ,.� <br /> 1 COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> O� f ST (209) 46 -3 95202 ��� <br /> i, (209) 468.'3420 <br /> i PUBLIC RECORDS RELEASE APPLICATIO <br /> Aa�HPDOPDLFNIbECASS NT NTA_GE <br /> /N(CJY <br /> dA 95FZ� HT 1 <br /> 4 2002 <br /> '76707J I%ACSIMILL <br /> TENTATIVE•APPOIHTM'N DArt ( rn( F2 ^ t <br /> TL'H� <br /> zooz TIME cT. SU ITiSERVICES <br /> Eli <br /> T to" in as da s n dal aVVAuSeSS <br /> ' yubmlttA <br /> ChECK BOX TO•EXfEDITE REOC�5 DAYS <br /> SIGNATURE OF APPLICANT DATE /U /3 0 � <br /> I <br /> I . . FILE ADDRESS 'THIS HIDL EHD STAFF VZU ONLY <br /> I rKoaRAM ELEMENTS SEARCH <br /> f 03 I IL <br /> ra�tca+� <br /> Zvi QwN+r>,f <br /> Z 5­711lzbe�te=vorl <br /> I <br /> i <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDgRGROIJNV TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 0 SOLID WASTE FACKITY <br /> 9 OTHHji CLEANUP SITS(NON-LOP) M FOOD FACILITY 0 SOLID WASTE VF4lrLG <br /> U24013RQROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZ+DOV3 WASTE GENERATOR O CHICKEN RANCH O PKG TREATMENT PLANT <br /> 3 TIERUD PERMITTF%D PhCILITY 0 MOTEUHOTL'l. 0 PUMPER TRUCKIY.ARDICHEM TOO-FTS <br /> D TATTPOIDODY PURGING - C POOUSPA O LAND USC APPUdA-nON SITU$ <br /> 7 MEDICAL wA1TL FACILITY D PUBLIC WATER SYS.TCM O OTHER(PL.LASG SPECIFY ADOVE) <br /> 1. List up to ten addresses in the space above. Select the type(z) of files from the list above by checking <br /> the appropoato bOX(CS); At least one file type MUST be selected, Fax to (20914164-01J3 or mail to the <br /> i addre55 indicated abeve. <br /> EHD will na tify the applicant if any EMD files exist. An appointment for review will be confirmed <br /> approximately five business days but no IAter than tan (10) days after receipt of application.-The fifes <br /> i will be held (or a maximum of five business days for review, Appointments should be scheduled <br /> accordingly, <br /> -' I A filo that Is aetivoly being!worked on by END staff may not be immediately available for review_ A new <br /> I application may be submiMcd when the fila Is available. <br /> I. Any flle'noclreturnod in the same condition es released will be reoryanlred by EHD ataf(at the e <br /> Of the applicant, Future fllp reviews by the rams applicant may reqxpense <br /> uire a SDT.00 deposit prior to review, <br /> 'TENTATIVE appointment Cates must be confirmed with EMD staff. <br /> >: Applications received aftet 3:00 pm will be processed the next business day. <br /> MNFIiRMED APPOINTMENT DATE TIME <br /> DATE CI IONFIRMED PHONE FAX INITIALS <br /> REVIEWED " YES NO REVIEW narF <br /> ,• " "" TOTFL P.01 <br /> r. <br />