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'SEP . 25 . 2002LI 12 : 46P1y3641):APrpDIS GERAGHTY&MILLER/JSF(RL7pIplENTAL }'^qL•�'i( N0 . 277 P . 11/1• 92 <br /> DATE DKOVE ) <br /> SAN u3AQUi COUNTYPUBLIC HEALTH SERVICE �f <br /> iINMENTAL HEALTH DIVISION <br /> �O) ' ✓ STOCKTONCA94j WEBER b 02 . "THI ;6Ri? ,s. <br /> � (� f II �� ED <br /> 00 ?r (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION - SLP 25 2002 <br /> APPLICANT /r006 ( CISja f auslNEssrAGENCY �4-RC.d&•L)I5 , F- Mlt 0N1MFNTHFAITH <br /> AI)PlsEss o o r>k <br /> PERMIT/SERVICES <br /> PHONE Cr!� ) 233 - 3zoc5 FrrACSIMILE � S72) 17P3 K t4 <br /> F <br /> TENTATIVEO. aPPOINrMeNTDATa �e O TIME ' <br /> (PIEeAe glva 7 to 4 Ines froff K � to Ileellon submittal) <br /> m © po)t �D REQUEST , QUEST FR ED I <br /> dUSiNE35 DAYS <br /> SIGNATURE OF APPLICAN DATE S p p <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> DG Il U Lt L ( <br /> ✓'L L� Ix Ll . . . <br /> l Lt L L, <br /> O . . k . A L, <br /> U <br /> Li <br /> Ara <br /> u <br /> oA Y z5- oz <br /> NVIRONMENTAL HEALTH DIVISION FILES <br /> SM7PF96ROUND TANK (UST) CLEANUP SITE (LOP) O HOUSING AlIATEMENT O SOLID WASTE FACILITY <br /> �TNOR CLEANUP SITE (NONALOP) M POOP FACILITY IM SOUP WASTE VEHICLE <br /> WUNDERGROUNDTANK (MONITORING)RMOVAL) O DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENARATOR t7 CHICKEN RANCH C) PKO TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTEL.IHOTEL ❑ PUMPER TRUCKNAMPICHEM TOkLETS . <br /> M TATTOOMODY PEIRCING ❑ FOOLISPA 17 LAND USE APPLICATION SITES <br /> tl MEPICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM ❑ OTHM (PLEA9E 6PECIFY ABOVE) <br /> 1 . List up to tan addresses in the space above, Select the typo(s) of files from the list above by checking <br /> the appropriate box(es). At lasst one file type MUST he selected. Fax to (2091464.01 ,38 or�(ID <br /> addrexi 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 EMD staff may not be Immstflately available for review. A new <br /> appllcation may be submitted when the file is avallable. <br /> 44 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 some applicant may require a $89,00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff, <br /> 6 ApplicaPons rocoivcd after 3:00 pin will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> :T <br /> DATE CONFIRMED PHONE FAX ' INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> r <br /> I <br /> i <br />