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SANl�4UIN COUNTYPUBLIC HEALTH SEES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 FAST wEBERAVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)4"-3420 <br /> 1 PUBLIC RECORDS RELEASE APPLICATION <br /> APp1fCAi�7 1 1 1_ ths&—VE i'+E SU$RW4 IAGENCY L..ONt3oit. oLa tB,L. <br /> aONESs,Lee HK W&ST C(P4csS•rt ,1.. <br /> 4r1bf' ,CA- 6� or. <br /> FA-rCUMILE <br /> TENTATiVir"'APPOWTMW GATE TIM <br /> (Plage Oft T 10 79 OUIX*se dens Rom m:o of appttcxWn s j <br /> U1111T5 o2,,3 4 <br /> CNECK 84X TO"PEMM REQVE$T.=er M-REQ EST PROt� W a BUSINP-33 WtY$ <br /> SIGNATURE.OF APPUCANT DATE o /8 0 <br /> FILE ADDRESS 199 tT &MY M any <br /> PRpGRAM ELEM►E M SEARCH <br /> S'3« <br /> Zee M). Fi f St. <br /> O L <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> yr mAcino NID TANK(E►S7j c EAnup SITE(1.0F) D HOWING ASATO ERT X SOLD WASTE FACILITY <br /> *QTMM CLEAWJP SITE 0408-LOP) 0 F001?FACILITY C 30LIP WASTE VOKLE <br /> JS LiNGERGR0tWQ TANK(flDNr VKWWRBMOYALt O pt7M K1FWEL ;KDAMY <br /> .%KAZA WOu6 WAaTE G"AtItATORrf,GKRSK�t itrtaicn U PRO TREATMENT PLAW <br /> O TrEW PE�7FrED FAC4JT7 O MQ rJHOiEI O MWER TRUCKMARWCHEME TOASTS <br /> D TATTO01500Y PMRCNG a POCLISPA O LAND USE APPLICATION SITES <br /> JILM6,1MCAL wAaTE FACUT i O MOLIC WAT9RSYi4'r M d OWER(PLEASE.VI)MY ASOM <br /> t. List up to ten addressoa In the space ebovc. Select the type($)of 13148 from alit W 40OVQ by thet.kfl'tg <br /> tit*awopriate bagos). A}least one ill;type MUST W seWatad. Eatx to QW44W139 or mail to the <br /> eddMgs indicated QW. <br /> 2. END will notify the applicant if any EHp files exist. An appointment for review will be conMwmd <br /> approxinp sty Rve business days but no later than tor,(90)days after receipt of application. Tits Was <br /> will be holt for a maximum of five 4usinwn days for review. Appointments should be oahedulttd <br /> accordingly. <br /> 3. A file that is actively 1»ing worked on by EHD staff may not be imowdiately available Sot MVWW, A new <br /> appliaanon may be submitted when the filo Is avallMe. <br /> 4. Any file not rvU modin the same condition as relewnd will bo reorganized by EMD staff at the expense <br /> of the applicna f=uture file revi*"by the Same applicant may require a$27.00 deposit Tenor t0 ravfew. <br /> 5. 'TENTATIVE appointment bales must be confirmed with EMD staff. <br /> 6. Applications roeoived alter 3-.W pM will fro processed the next buoinest:day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED P"QNE FAX INITIALS <br /> ft1 v w w YES NO REVIEW EWA M <br /> N <br /> TOTAL P.02 <br />