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DATE RECEiV�D 010 LOG NUMBLA <br /> LLD 5 N JOYQUIN COUNTYPUBLIC HEALTH SemWIC ES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 FAST WEBER AVENUE,THIRD FLOOR <br /> AUG 6 2001 STQCKTON CA 85202 <br /> J209)46"420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �fflh <br /> -1y&- fa <br /> AFPI,ICAN, <br /> ADOR55S :932 S4 agd�. S*.- <br /> PHONE ~AQ 47 Im" <br /> "M" <br /> TENTATIVE*APPoiNTmr:N-r:1o)AYE TIME <br /> (please give..i to 10 ibmsin da data of application Submittal}Q)()/r,5 Y� <br /> CHECK BOX TO EXPEDITF REQU $70.110 FEE-REQU PAOC ED IN 3 BUSINESS DAYS <br /> SIGNATURE GF�APPLIGANT DATE <br /> FILE ADUKL54 <br /> T <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> IUNDERGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE CNONLOP) M F0QQ FACILITY 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(m0t4rrOR1NG1REM0vAL) 0. DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR 13 CHICKEN RANCH 0 PKG TREATMENT PrLAWr <br /> 13 TIERED pERmrffLI <br /> ED FAciLr(Y Cl MOTEHOTEL 0 PUMPER-TRjjCKfYARlXGHEM TOILETS <br /> 13 TATTOOIBODY PEIACING [3 P00USPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILMY 13 PUBUC WAYER SYSTEM M OTHER(PLEASE SPECIFY ABOM <br /> I List up to ton addresses in the space above. Selert the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one Fig type MUST be.setected. Fax tq_(209)464-01�kor mail to the <br /> address indicated QbQY9 <br /> 2- EHD will notify the applicant if any F-HO 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 hold for a maximuM of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A fila that is actively being worked on by EHD staff may not be immediately available for review. A now <br /> application may be submifted 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 appiicanL Future file reviews by the same applicant May require a$78.00 deposit prior to review. <br /> ,5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. 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 /> WEVLE ED YES NO REVIEW DATE <br /> ills" <br />