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SAN .t MUIN GOUNTYPUBLIC HEAL'i H " 'VIGI <br /> �- �hlv[RONMENTAtr HEALTH DIVISi: <br /> W4 EAST WEBER AVENUE,THIRD FLOOR 00/056 <br /> STOCKTON CA 95262 <br /> f (209)468-34" <br /> PUBLIC RECORDS RELEASE APPL1CATIOrm <br /> bYi <br /> APPLLCANT E�b� {��Q EUSWEMAGEN{CY -441t1� vV GCS �GC ! <br /> ----- `fie C2� i <br /> ADDRESS <br /> pldK7riE �] Lo FACSIMILE <br /> TENTATIVE*APPC}ItdT1r1ENT RATE - 1I I-S I4»✓ TIME <br /> (Please give 116 to r►uslnass rwys feom data for appllca Van submitw) i <br /> CHECK BOX TO EXPEDfTE RECkUP-ST.$7 PEE--REQUEST PR41GESiSEL3 IN 1 JIUStNESS DAYS <br /> SIGAWT'LFRC OF APPLICANT DATE Lei <br /> FILE ADVRESS <br /> i <br /> Y �M <br /> L-i tiNaF1t5 _. <br /> 3Isp <br /> . S -�vA � <br /> ENVIRONMENTAL HEALTH D ISION FILES - <br /> HDEFZGsRQUNO TANK(UST]CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOLI)WALSTE FACILITY <br /> OTHER CLEANUP SITE(MON-LOP) ❑ roco FACILITY E] SOW WASTE vE141Cl E <br /> UN13ERGiRGUNIJ TAKK[MaNIT(MUNGIRFMOVAL) 0 )OG KFUNEL 0 DAIRY <br /> HA7ARDpUS WASTE GEfiI1 RATOR © CHICKEN RANCh 0 YlGG TREATMENT PLANT <br /> U TIERED PER]Vif1TED FACILITY Q MOTEU"OTEL. 0 LANDpUWtit' APPLJYATION SM TOILETS <br /> M TATTOOJBODY PEIRCING 0 PCWD118PA LAND LISF API�LIGJCI IoM SCrFS <br /> CI MENCAL WASTE rACILITY 0 PtIOL.IG WATER SYSTEM Ll OTHER pK.EAF#E!:PFMFV ABOVE) <br /> List up to ten addresses in the space aboVa. Select the type(s)of files from the list above by aheekin9 <br /> the appropriate bOX(es). At Least one file type MUST be selected. Fax to(209)464-4138 ar r-�r ail t0he <br /> a dress indicated a e. <br /> 2. EHD w-oll notify th+a appNf-ant if any EHO files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five businoss days for,review. Appointments should be%chaduled <br /> accordingly. . <br /> 3- A file that is actively being worked an by EHD staff may not be ilt Mediately available far review. A new <br /> i5ppltc4tiort may lie submitted when the file is available.. <br /> 4. Any file not retuned in the same c6ndition as released will be reorganized by EHb staff at the expense <br /> of the appiic=L Future'fie reviews by the same applicAnt may require a 578.00 deposit prior to review. <br /> S. *TENTATIVE appoicrtrnant dates,must be cdrifirmed witty EHD staff. <br /> 6. Applicatiorl$received after 3:011 pm will be processed the next business day- <br /> k <br /> CONFIRMED APP0114TMENT DATE _ . _ Timm E <br /> DATE CONFIRMED PHONE FAX <br /> RME-WED YES NO xES/IEW DATE — <br /> 04 00 14 4110oww . <br /> TOTAL P.02 <br />