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i.,uuilii -fi-'ULiLI% !-l1C,4AL67j <br /> f4ViRONMENTAL HEALTH DIVISI <br /> 304 EAST WEBER AVENUE,THIRD FLOUT. <br /> 2 <br /> 001 STOCKTON CA 95202 <br /> (209) 468-3420 �lQ <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT511NESSIAGENCY akaAlf &Uli-b4lne,� kmztx, <br /> , <br /> ADDRESS LIM 5- A)- <br /> PHONE <br /> 4-040 <br /> TENTATIVE*APPOINTMENT DATEJW- -fi <br /> (Please give 7 to f0 huslnass days from date of application submittal) <br /> CHECK BOX TO EXPEDrTE REQBUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS <br /> SAM-1h ma)k-1 C't. 'Alinle a <br /> UFF 1Y)dli-I V..-Mn7ecc <br /> St.', Ina 7 <br /> C-�a;L 9 OL dud nte !a- <br /> ST LIU <br /> -C <br /> V <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 SOLIP WASTE VEHICLE <br /> UNDERGROUND TANK(MO NITORINGIREM OVAL I 13 DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR M CHICKEN RANCH In PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTELIHOTEL CJ PUMPER TRUCKfYARDIr.HEM'FOILETS <br /> 13 TATTOOIBODY PEIRCING 0 POOLISPA 0 LAND USE APPLICATION SITE-:$ <br /> 171 MEDICAL WASTE FACILITY 171 PUBLIC WATER SYSTEM 13 OTHER(PLEASE SPECIFY ABOVE) <br /> I List up to ten addresses in the space above. Select tile type(S) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-01313 or mail to the <br /> address 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 EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. 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 same applicant may require a$711.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EH co 14 blm&to <br />