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Feb-1.1-2002' 1 •E <br /> 04:34m. From-KINKO'S SANDRO 15103578053 fT=4;� ,° P., 2�i3OS 9 ' <br /> c:� <br /> ai3NTYPU1Rt IG•MEAL.�"H SERV14 • I � <br /> MENTAL HFAI*TH DIVISION <br /> 'rim, <br /> EBER AVENUE,THIRD FLOOR <br /> i STOCKTON CA 95202 <br /> (209)4680 <br /> PUBLIC RECORDS RELEASE APPL,ICAT- 10N <br /> AFPucaNT to B11SiNESS1A a MCY •.r <br /> phONE CS�lD S- FAG51141FJ E r o o- 7 '• '7l/ <br /> Tl=NTATiVE•APPQINWENT DATA E <br /> {131oa6e Siva 7 4 t date n uubmlttal) <br /> CH GK B4X E7CAf"orrE $lES7-)A FEE-M U it N > 511��SS OATS <br /> SIGNATURE OF A pLICANT DATE ,e leo oo- <br /> FM AGI} S THIS=I-END .AFF UeE NZY <br /> PROGRAM 1ELOMEM SEAKCH <br /> d. r <br /> •S3S- Lrl .4r�.E S•�-4 <br /> ENV=NMEPFTAL HEALTH DIVISION FILES . <br /> 1xi UNDERORGUND TANK'(1161)CLEANUP SITE(LISP) 13 HOUSING ASATEh4EN 17 sOtJD WASTE FACILITY <br /> 0 OTHER CLEANUP SrM tuQN-LQP,) 0 F0013 FACILITY C7 3M10 WA$7F-VEltiCt E <br /> D UNVF-RrpF1:0UN0'rAKK(JAQNUQRINCi[gWOVA,L) M nW KENNEL a OAIRY <br /> 0 KAZAPMO ra WASTI GMWRATOR I3 CHICKEN PANrvH 0 PK;TREATMENT PLANT <br /> C3 •YIPJf ED PEFMn -FX Ii=AC LITY E3 MOTELMOTEL• LI PUMPE1k TK1lCK/YARP1r.HFX TaILETS <br /> b TAT70=00Y P6tF'lCING ❑ POOLISPA 0 LAND USE APPLICATION WE$ <br /> E7 W.PMAL LAM IRACIL[TY O PUBLIC WATER SYSTEM 0 OT"BR IPLEASE SPECIFY Al3Qy(;) <br /> 1. List up to ton addresses in the►apace abQve. Select the type(s)of files from the list attove by checking <br /> Um appr+opliatc box(es). At lea;t one file typo M1]3T'be selected flax tn_(09)4E4p73$ar mail xn e <br /> aclaress iridlceted a <br /> 2_ EHO will notify the applicant if any EHD files exist An appointment for MvieW will be Garm"ned <br /> app mataly five business days but no latter than ton(10)drys after rmeipt Of application—The flies <br /> will be held fora maxilnuin of five business days for review. Appointments should be Scheduled <br /> acaordin$ly. <br /> 3. A file that is Rovaiy being worked an by EHD sniff may not be immediately mmilable for ravlew. A r19W <br /> appllcatlon may be aubmMed when the file is avaiiabie. <br /> 4. Arty file Trot returned in the same condition as releawd will be reorganized by EHD staff at the eXpense <br /> of the applicarlL F41%;re flle reviews by ow same applicant may reguim--�k$89.00 deposlt prior Lo,ravlow. <br /> 5. 'TENTATIVE appointmont etches must be confirmed with EHp staff. <br /> S. Appiicatians received atw 3:00 prn will be processed the next business day. <br /> a <br /> CONFIRMED APPt;)11+1TMeNT DA71" TIME <br /> DAW CONFIRMED] PHONE FAX iNfi'l/�i'3 <br /> RKVIEV1 ED YES NO REVrEW DATE <br /> r <br />