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03/04/2003 10:58 46401'; EWIRONMENTAL HE,,.jH PAGE 01 <br /> '•,'.y i.,,,'t.�. �i IAN •JOAQUIN COUNTYPUBLIC HEALTH SERVICES *, <br /> ENVIRO- NMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AvsNU6 THIRD FLOOR <br /> MAR. 0 4 20Q STOCKTON CA 95202 <br /> (209)468-3420 7 .7 <br /> , iiupUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT (�LGfti�pl�( BUsii1)r5S/Ac[HCY { L �SSOC fPeT S <br /> ADDRESS 3fo0O M�1•��I SON i�t`E, ' SGr/1'��d� /tlA2�'�l lf�laf/G�D c� Com• `15�, <br /> PHONE CV&)331?-2L77 FAC�SWII.E <br /> TeNTATIVE"ApPOINTMENTbAM.H1. -. &&C,# 7, 9�03 TIME f --- <br /> (Plcase give 7 to Ib btalness days from date or applfcaUon submitiao <br /> CHECK BOX TO p(PEDiTE REQ'96K-$W.Q0 FEE—REQUEST <br /> Q� PROCESSED M 3 BUSINESS 13AY5un <br /> SIGNATURE 01:APPLICANTC-41r - _ DATE <br /> FILE ADDRESS THM SIDE END STA14 USE ONLY <br /> PROGRAM ELFAafTS SEARCH <br /> 20 G ZW jnZ2Z CAY q'.S 2 ` <br /> 270 92N Guy Bz p STl1C/Z col- A)f �- -- <br /> GG!/ der/ C�T1,vS/, c s 4 h4 zi,. <br /> R111C Sn4C;ai,- <br /> ENVIRONMENTAL HEALTH DIVISiON FILES <br /> UNDERGRW40 LANK(UST)CLEANUP SITE(LOP) la HOUSING ABATEMENT' D SOLID wASTIE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) XOOU FACiL17Y O soUD wAsTE VEHICLE <br /> 11NIDZRGRO6ND TANK(MONrroRLNGlREMCYVAI.) DOG KENNEL. D DAIRY <br /> tIAZARDOUS WAS'T'E GEINVRATOR Cl CHICKEN RANCH 0 PKGTREATMIMTPLANT <br /> Gl TZEMD PEF04FUED 1=AMITY D 540TEUHOTEL iJ PUMPER TR%,Ic_WVARWCHEM eo1L.L:T3. <br /> a TATfOOl130DY pC1RCING O POOVSIyA11ANo USE APPLICATION Si7'BS <br /> Z3 MEDICAL WASTI?VACTLI7Y � O OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ton addresses1r;the space above. Select the types)of files from the list above by chocking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)413.1.0138 or mail ti; the <br /> r address indicted above. <br /> 2 EHD will notify tho applicant if any EHD files exist An appointment for review tntill be confirmed <br /> approximately five business days but no later than ton-(10)days after receipt of apptidation. The files <br /> will be held for a maximi;m of five business days for revtow. Appointments sholjid'be scheduled <br /> accordingly. <br /> 3. A file that3s actively bring workod on by EHD staff may not bo Immediately avai-fable for review, A new <br /> application may be submitted when the file is avallabie. <br /> .4. Any file not ccturnod iti the same Condition as released will be reorganized by EHD staff at the expanse <br /> of,the applicant. f=uture rite reviews by the same applicant may require a$89.00 d0posit prior to i eulew. <br /> 5. "TENTATIVE appointment dates must•be confirrrtad with EHD staff., . <br /> e. Applications racciveo after 3:00 prig wilt be processed Lha next businc ss day. _^ <br /> CONFIRMED APROINTMENT i)AYE. TIME <br /> DATE CONFIRMED . PHONE FAX INITIALS <br /> ItENtEWED YES NO RevfEW DATE +" <br />