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_..... . ... .i.. ,_, I I, .I I,,,,,,, .,i_. 1 n:1 I , I ,, G. <br /> 07-20 ,2001 I04147AM FFA TO i/ 191 iibbdF.0 <br /> l�I (269)468.3420 <br /> 5� III ,2/001 I L PUBLIC RECORDS RELEASE APPLICATION (� <br /> LI' Al1FANTI' fKti^"--t+T.F�I �TQ ARS DUSINESSIAGENCY G)pB T2AN S l INC. <br /> 'ADfIRE`BS�'�' d��J' PR�SP�-T PA(Z.t�pR� 5ut i� � IZfiNCtte �-0fLDdutAIC�9.�O� <br /> PHONE Lgt(0) f�3^ 18012S _ FACSIMILE. <br /> TENTATIVE'APPOINTMENT DATE ULy Zb{ O C TIME 'P <br /> (Please give 7 to tt,o/business Eaya Irom date of appika40n submMal) <br /> 10 rS / WLit."C31�/r.1Cj Cr'�Cl� <br /> CHECK BOX TO EXPEDITE REQUEST-587• FEE—REQUESTTJPROCFSSE 1N 3 BUSINESS DAYS C*� PPP•T �•.f- <br /> SIGNATURE OFAPPLICANT ,« DATE <br /> FILE ADDRESS THLS SW£EHD STAFF.USE ONLY <br /> PRpGRAM ELEhMENT$SEARCH <br /> 72+5 Cp�r�TRY �wLi vR toccrer� 3Sa ev" <br /> rJ CauNTR�( C4VQ Y�-�D. SIeGK i d (. <br /> Z t rvN'i14N A- 7J(2a V S l�-TCr�1 <br /> 71P+-T ewga '&T-CK-TaN <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND YANK(UST)CLEANUP SITE(LOP) I7 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> �Zf OTHER CLEANUP SITE(NON-LOP) . ❑ FOOD FACILITY ❑ SOLWWASTFVEHICLE <br /> 0 UNDERGROUND TANK(MONITORINGIREMOVAL) O DOG KENNEL O DAIRY <br /> '0 HAYARDOVS WASTE GENERATOR 0 CHICKEN RANCH A PXG TREATMENT PLANT <br /> 4 TIERED PERMITTED FACILITY O MOTELIHOTEL (a PUMPERTRUcI'(YYAROfCHEM TOILETS <br /> 0 TATTOOIaODY PEIRCING 0 POOUSPA 0 LAND USE APPLICATION SITES <br /> O MEDICAL WASTE•FACILITY 0 PUBLIC WATERSYSTEM ❑ OTHER(PLEASC SPECIFY ABOVE) <br /> 1. List Up�b 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. EHDawili notify the applicant if any EHD files exist. An appointment for review W11100 confirmed <br /> approximately five business days but no later than ten.(10)days after receipt of application. The rites <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A filo 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 filo not returned In the 3ume condition as released will be roorganiaod by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3;00 pm will be processed the next business day. <br /> ICONfIRMED APPOINTMENT DATE TIME <br /> tDATE CONFIRMED PHONE FAX INITIALS. <br /> i <br /> REVIEWED YES NO REVIEW DATE <br /> en w �. ,odorroo <br /> TOTRL P.02 <br /> A <br />