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IL <br /> ICES <br /> QUIN COUNTYPUBLIC HEALTH <br /> NYA -SEYV <br /> Z' tiro WGl�4fatliR <br /> SA Jr- <br /> ENVIRONMENTAL HEALTH DIVISION <br /> U <br /> 304 FAST WESER AVENUE,THIRD FLOOR 1. <br /> STOCKTON CA 05202 <br /> M41 9 2001 i, (209)48i-3420 <br /> —— 1-- qBLI C RECORDS RELEASE APPLICATION <br /> t y; <br /> its- 15 13:2- 0216q <br /> FACSIMILE <br /> TENTATIVE."APPOIATM-ENTPATT;. TIME <br /> -(Please give 7 to 10 buslmz5 days VCH111 date ca&Ppricalion subm;ull) <br /> CHECK JROX TO EXPEDYTE R.4f3U ,0a FEE—REQUEST ROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> F;1�e Bpi E.SS <br /> rKCS 8185 F;;KID STAFF WE ONLY <br /> WARJLK <br /> :210 <br /> ENVIRCI 110 TH DfVl5UQN FILES <br /> Jd'U30F.A0fkQQN;)TALK jtjST) SITE(LOP) 0 HOU3IL413 ABATEMENT C3 5OWVWASTE FACILITY <br /> ?3 OTHER CLEANUP SITIR(NON-L9P) 0 FO(X)F;ACRJff 0 souD WASTE VEHICLE <br /> X,UKVI�RGROUND TAr4K jm0wroRNWREM0VAL)- 0 LOG XENNEL 0 DAIRY <br /> HAZARD=WASTE GFNIEFLATOR 0 0 PKGTKEATM"TFLANT <br /> 13 TIERED PJMMfFrE0 FACILITY " 0 BACTELiNOTF-1- 0 PUMPER TRUCKMAR01CREM TOXATS <br /> M 'TATT4015MY PlEIRCING i in Poot-fsp'^ -.. - n UkN0USE JA"LJCA-I1*NSjTjL8 <br /> C3 MEMCAL.WAZTEFACILITY 0 PUBLIC WATER SYMEM 0 OTHER LPLEASE SPF-CIFY ABOVE) <br /> 1. List up to ten;addresses in the space above. Select the type(s)of files fronrk the list above by chcckl,ng <br /> the appropriate boz(Os). At least one file 4w MUST be selected. EA&tg(2091 AE&O 131-21-mall tp the <br /> address_indicated �bayy. <br /> 2. END will notify the:applicant it any ZFM fnins fixhst An appointment forrawlew will I)e ronfirmed <br /> approximately"i business days but nu Tat"than ten(10)bays after receipt of application. The files <br /> wily b---held for a maximum of five buslness days for rWjQW. APPOIntMents should be scheduled <br /> ticeorain�ry_ - <br /> 3- A fife Ahat Is actively being worked an by END staff may not be immediately available fOr review. A fivw <br /> applicatlon may hsubmitted when the fla is available, <br /> 4. A-Y file not returned in the Sarno danditiOn as rieleaved wfil be reorganixed try EHD staff at the expense <br /> of the applicant. Fibers flf'a rvyiew3 by the same&Wlcant may require a$57-00 deposit prior W review. <br /> 'TENTATiVE appo%htmmltdate-q must be confirmed with rrHo 4t*ff, <br /> 5- APPlicati ons received after 31.00 pm will be protie"qd the next business day. <br /> CONFIRMED APPOINTMENT DAirE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES No REVIEW DATE <br /> TOTR- F.01 <br />