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-OAtt 11LCF1WEO -�=a' EHi]LOG MVM6f11 - <br /> '`" 78AKJOAC"! N CO INTYPUBLIC HEALTH SER` `''ES_ <br /> EbRONMENTAL HEALTH D11,1516N <br /> 304 EAST WEBER AVENUE,THIRD 1:1-OOR <br /> APR 0 3 2003 STOCKTON CA SS202 <br /> (209)468-3420 <br /> i:i1!1'f` ONMEN INIEPIUBLIC RECORDS RELEASE A!'PLICATION <br /> APPLICANT rrel / BUSINESSIAGENCY EIA) 19 <br /> ADDFiE55 :Inf4n L"r'i �T_-- 4 <br /> Vy <br /> rr I}�j <br /> PHONI~ l0 ( I.(r( 1 FACSIMILE2;.9 2 ?.9, $ir ^ <br /> TENTATIVE"APPOINTMENT DATE TIME - (�U�, <br /> (Please give 7 to 10 bualnezz days from date op aPPii,:atlon submlti.VI) r <br /> V-7 � <br /> ' HECK DO}C TO E7(N>=DIT_REQUEST-i8D.00 FEE-REQUEST PROCE9SfiD IN 7 IiF,I51NE55 DAYS ,QQ <br /> SIGNATURE OF APPLICANT _ DATE <br /> °LLE ADDRESS ., THI3 SIDE EHC1 STAFF USE ONLY <br /> PROGRAM ELLMENTS SEARCH <br /> Q T � <br /> A,4 14 <br /> f .. <br /> - <br /> i'h1,Sr . _ I <br /> ✓ M <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(US-I CLEANUP SITE(LOP) O HOUSING ABATEMENT 0 SOLIU WASTE FACILnY <br /> O OTHER CLEANUP SITE(NO 4-LOP) ❑ FOOD FACILITY O SOLID WASTE VEHICLE <br /> UNDEFkGROUND TANK(FAO VITORINGIRENIOVAL) ❑ DOG KENNEL, ❑ DAIRY E <br /> ❑ HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> ❑ TIERED PERMn rED FACILI rY ❑ MOTEUHOTEL ❑ PUMPER TRUCKtYARDICHEM TOILETS <br /> Q TAT7001BODY PEIRCING ❑ POOUSPA ❑ LANA USE APPL1CA11ON SITES <br /> O MEDICAL WASTE FACILITY a mmommummosse 0 OTHER(PLEASE SPIECIFY A80VE) # <br /> 1. List up to ten addresses in the space above. Select the typels)of files from the list above by checking <br /> the appropriate box(es). At least one flip type MUST be selec-0d. Fax to 2021 q64-4138 or mall to the <br /> address Indicated above. <br /> 2. EHD will notify :he applicant if any EHD files exist. An appolli':ment for revitiw will be Confirmed <br /> approximately live business days but no later than ten (10)dairs after recr;ipt of application. The files <br /> will be hold for a maximum of five business days for review. Eippointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by END staff may not tic Immediately alvailabler. <br /> application may be submitted where the file is available. Mn_'..c4. Any file not retlFrned in the same condition as released will be reorganized by EHD stay #i <br /> of the applicant. Future file reviews by the same applicant may require a S69.00 deposit prior to review. <br /> 5. -TENTATIVE aFpointment dates must be confiirmsd with EHCI rtaff. <br /> 6. Applications re�eived after 3.00 pm will ba processed the ne:K':businass clay. Aoicpy <br /> CONFIRMED APPOIN"MENT DATE T1C E _ <br /> DATE CONFIRMED PHONE PAX !Pl[TIALS <br /> REVIEWED YI.S NO REVIEW DATE <br /> emu 414 <br /> 04/03/03 THU 13:20 [TX/RX NO 96021 Ir3]04Z <br /> i <br />