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05/28-7 08:57am P. 001 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,TFIIRD FLOOR <br /> STOCKTON CA 95202 ,. <br /> (209)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION D <br /> APPLICANT • �S7Ght+lu►rI _ �O�>:1�A BUSINESLS/AGENCY /'l lqa� En--1r0AA,e 1 O� <br /> ADDRESS S� T� �LS9' LaS Posiggs . .S�1tt Iit P�4GSA,Ia� C.A JqS <br /> PHONE �Ls' r{60- 19 SO FAC-SWIIE 6) = ZSI — D g3$ ENVIROWENT HEALTH <br /> S.�3f/0Z --E 9:00 " PERMIT/SER VICES <br /> TENTATIVE'.APPOINTMENT DATE TIME <br /> (Pla&se_p[y*,7 to 10 business dais homa 019 Ion s tial) <br /> 96" #-,," <br /> AS <br /> CHECK BOX TO EXPEDITE REOUE I Q PROE�N �ESYS <br /> SIGNATURE OF APPLICANT DATE S�2p�62 <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> CA2.10 W. I,w <br /> 1.12 W ., SVa. A.s., J 2 Dec <br /> I S4 I-01" <br /> Lot 4 ]4 :} • ; <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENTSOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> W UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL D DAIRY <br /> IX HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH d PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> C1 TATTOOIBODY PEIRCING ❑ POOUSPA O LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY d PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to 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-p1aa0r!13 Ail to the <br /> address indicated 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 than 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 END staff may not be immediately available for review. A new <br /> application may be submitted when the 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$89.00 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 /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> h <br /> An <br />