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i .IA U._ 0- <br /> fttatU]N trUUM 1"YNU13t_lt; I-ICFlL7 H :*'-RVICES <br /> *w ENVIRONMENTAL HEALTH <br /> 304 EAST WEBER AVENUE,THIRD FLOOR ✓(%` <br /> �U STOCKTON CA 95202 /CJ <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> r _ •rb h� <br /> APPLICANT 1!/;'T1" 41M tea O t s BUSINESSIAGENCY GraW jLe!& C¢afx v <br /> ADDRESS Z 4f1 V i 55- fr4 leg rr G a1 : <br /> PHONE `S`i°!- �,6 Y— FAC5IHIII.E <br /> U <br /> TENTATIVE^'APPOWnWENT DATE �2 +�'P -nmE �f Q <br /> {Please give 7 to 10 busint days from date of application submittal)�� <br /> CD <br /> CHECK BOX TO EXPEDITE REQUEST-$73.00 FEF-REQUEST PROCESSED IN 3 BUSINESS DAYS �j D r <br /> SIGNATURE OFAPPUCANT DATA r <br /> FILE ADDRESS THIS SIDE eit)STAFF USE ONLY <br /> PROGRAM ELZMENTS SEARCH <br /> V . gjjf.' Vw AWJZAffL4ffl 2.;2ALJ L2Z o9351 35-2 o <br /> • fif o : . T 2Z7 22:2Li 2220 <br /> �Z.(O <br /> "roll r+lif,.p ry 1-3ss! Z <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> fK UNDERGROUND TAMC(UST)CLEANUP We(LOP) E3 HOUSIW ABATEMENT Li SOLID WASTE FACN.ffY �(�1+0 <br /> QTHER CLEANUP SITE(Nam-Lop) Cl FOOD FACILITY 0 SOLD WASTE VEHICI„E: \\ <br /> LI UNDERGROUND TAi11K ImONITORING/REMOVAL) a DOG KEN14EL I3 DAIRY <br /> LZ HAZARDOUS WASTE GEwRATOR C CHM.rCHN RAMC" D PKG TREATMENT PLANT <br /> C3 TIERED PERK n my FAG,UTY ❑ MQTEUHOTEL 0 PUMPER TRUCWYARDICHEM TOILETS <br /> TATIOOIBODY PEiRCING ❑ POOU3PA O LAND 115E APPLICATION SITE$ <br /> f7 MEDICAL WASTE FACOXN O PUMIC WATER SYSTEM D OTHER(PLEAS>r SPEC1PY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the RM above by checking <br /> the appropriate box(es). At lest one file type MUST be selected. .EAM-a_M 464-0138 or mail to the <br /> address indioafed above. <br /> 2. EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximAtely five business days but no later tharl 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 tete 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 File reviews by the same applicant may require a$76.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> S• Applications received after 3.00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT BATE TIME <br /> DA'T'E CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REV19W DATE <br /> EM 04 74 aryitivo <br />