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t&Sf"I:1-UU iF:y3 ('IUOI FI.LH:lCS"`"�1:1 LfiOAUi1 i;i1u - JiUU,:LvL7i�',. 1-4UXl V-bd-,Ui JU0"4U0 <br /> kra:-CYLD €. CHS lUii�ur+aeR <br /> SAN Q. AOUIN COUNTYPUBLIC HEA L:+THWRVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> � Q 304 WIT WEBER AVENUE,THIRD FLOOR <br /> r <br /> STOCKTON CA MOZ <br /> �\ (206)466-UZU 1 <br /> PUBLIC RECORDS RELEASE APPLICATION' <br /> ' APPL.ICJhACr 8i]SIlVE58tAtiEI+IGY �_G L^o•��.- <br /> AnARirSS <br /> } PHONE <br /> FACSLUILE <br /> 1 -- - <br /> TENTATIVE*AppoiwruRwoATF. � /� <br /> _ �E.�ns� 09:30 <br /> (Please Dive 7 to ie busi days fivM 4i4v of application subm") <br /> Q CHECK BOX To 'EOlTF R>: 78.Cd FEE-REOURST PROGL6390 IN 3 HLISMESS DAYS <br /> SIGNATURE OF APPI.ACANT DATE <br /> FILE AODR54S TRG BIDES OH AFF USE 4Nl.V <br /> I PF=RAM EI-Ig WMrS SEARCH <br /> V nit <br /> ;E. <br /> f <br /> Ei <br /> !, <br /> ENVIRONMENTAL HEALTH PIWSION FI(ZS <br /> „offlf"'i.INOL'ELC ROUND TANK(U5T3 CL.EAMP SrM(LOP) CI KMSNG AOrATEMENT 0 SOUR WASTE FACILFTY <br /> d OTHER CLEANUP Wr:(IQN4-0P) C7 FOOD FA6IUTY 13 SPUD WASTE YFNICLE <br /> .r 'WND6RGRQLW0 TANK PROt+I1•rOFUNCURt:ato'VAL) nWO KENK L G aAIRY 1 <br /> C1 KAZARMUS WAM GENER1ITOR C3 CHICKEN <br /> EiATtGH 0 PKG TPX--ATMENT PLMT e <br /> TI M&D PoW TTED FA1:1LFTY ti Cl UOTEUHOTEL U PUMPER TRUtrlIPYARD=HEN TOLM � <br /> Cl TATra3Salacmy PIRCING 0 POOWWA O LAMD USE APPLJCATION SffQ <br /> Q l F.QtCAL WP4TF PACtUTY CI PUZILIG WATER S1f SF M ❑ OTHf-t(PLME SPECIFY ABOM <br /> 1, List up in ten addresses in the spaces atbove. Select the type(s)of files from tate list abcnm by chec:Xng <br /> the appropriate box(es). At least one Me type MUST be selectod. .Fax to f2O9) 43 <br /> irldka a ve. �E <br /> 2. I=HA will notify tho appftant If any EHD fifes exist. An appointment for review will be confirmed <br /> approximately five business clays taut no later than ten(10)clay$after rc=ipt of appficatlon. The files <br /> will be held for a maximum of five business days for review. Appointments-should be=Awduled <br /> aecordingly. <br /> 3. A fila that Is active(y being worked an by END staff may not be immdiaUly available for review. A new j <br /> application may be submitted when the 1619 is avallable. i. <br /> 4. Any fie not returned In tntt same eoredition as released will be reorganized by!*HD staff at the expense <br /> of the applicant, Future file rwiews by the same applicant may require a*7&00 deposit prier to raviaw. <br /> 5 "TENTATM Appointment dates must be aanrlrmcd with FHL)stat!. <br /> fi. Applications reeeivecl after 3:00 pm will be pmoessod the next business clay. <br /> FCONFIRWAR) opowivm !'C DATE 'TIME <br /> DATE CONFMMEA PHONE FAX IWIALS <br /> h <br /> RISME NED YES NO PFWIpw n^Tv <br /> .l�j k <br />