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- - - -- TO �.- <br /> 09-04-2001 11:MPM <br /> LIIV{dK+I,UNWLIi <br /> �_�AN JbAQU1N COUNTYPUBUG HEALTH SERVICES <br /> � ���__,'•�-- • -' ;ENVIRONMENTAL HEALTH DIVISION <br /> 2Q01 i 304 EAST VVESSR AVENUS,THIRD FLOOR U/ <br /> CFP sToCKTON CA 05202 <br /> (209)458-3420 <br /> If-cpUBLIC RECORDS RELEASE APPLICATION <br /> aPFu Alt11T i�' �TtM UGLSQ-+J. ausINESS/AGENCY __fit ES— N V�t2> MT/4 i �l n!C - <br /> ADD Ss 2 u0�R►(1 '��u ttif P�fz lJ , i_ i <br /> ( 411{ S ) . g9q -- I t�DO FACSIMILE; 0 4 I S $99 -I LDD <br /> YHOtiL, — <br /> TENTATIVE'APPOINTtaW DATEt�D -. _ Time <br /> (Ploado give(T to-10 13u-�sauusd� k.from date of application submRtai) <br /> Q GHECK SOX TO ECPEDrT-REQUr`s;C-$Z-r.09 FEE-•RCQUEST PROCF.S5EL1 IN 3 BUSINESS DAYS <br /> -SIGNATURE Or-APPLICANT DATE <br /> FILEX_E)1*ESS TTiis SIDE END STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> n441.1 tRPnR1 Vh I ' <br /> Stet 1� ;.s i AiRPoRT' Nb[Alq <br /> 3�+3 moo. rt t�[ <br /> S -S�u-m ' tRf�f2T A 3S•z-4 ' <br /> x 3 SOUTI-A E.L- Cho (S STREET -3s a,(a fEK - <br /> 3 I cs �.,'T4-t EL f�o2Aflo TRE�'T � 3.r.Z(p - <br /> o _ <br /> :2k)CQj Soul" CAL 1 ForzN 1A GT <br /> �� n'►�� K�,C�c�rh,tiJG �r. -' �9•/v 4 ...��_._... , w_. •,-.. <br /> GiLES <br /> ;31i ?7-1-15 7-, <br /> LIN ER13ROUND TANK(UST)CLEA6we SITE(LOP) 0' MOUSING ABATEMENT SOLID WASTE FACILITY <br /> 4ER CLEANUP 3VE(NON•LOP) D FOOD FAMUTY SOUP WASTE VEMCLE <br /> IIN EROROUNP TANK(MONITORINGIREMOVAL) Q 13OG KENNEL DAIRY <br /> HAWDOUS WkSTE GENERATOR Q CHICKCN RANCH PKG TREATMENT PLANT <br /> TIE4ZF_o PERMITTED FACILITY 0 tAOTEUMOTEL PUMPERTRUCI4YARa1CHEMTOILETS <br /> 0 TA TOWBODY PEIRCING O POOUSPA LAND USfi APPLICATION STIES <br /> f3 'M£�1CAL WASTE FAClLrrY a PUBLIC WATER SYS-fiM D OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to'ten addresses:in the spare above. Select the type(s)of fllds from the list above by checking <br /> the appropriate boxes}.'At least one file typo,MUST be selected. Fax to(209) 464-0135 or mai{ta'the <br /> I gddress mdicateGotbq}f <br /> z EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approx1mate3y five bu5ircess days but rte later than ten(10)days after receipt of application. The Was <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordiniy. <br /> 3. A file that is act)vrrly being worked on by EHD staff may not ha Immadiately available for review. A new <br /> application may be submitted When the file is avallabie. <br /> R. Any file not returned in the same condition as raleasod will be reorganized by EHD staff at the expense <br /> 5. ` of the applicant. Future file reviews by the slime applicant may require a $I37.00 deposit prior to review. <br /> "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. I Applica$ons received after 3-OU pm will be processed the next business day. <br /> -C041 <br /> IRMED APROIN mwr DATE _ TIME <br /> DAT.P CONFIRMED • PHONE FANG INF ALS <br /> REVJ �WgD YES NO REVIEW DATE <br /> 654 ,s .9FM7,FW TOTAL P.01 <br />