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P1Par-uc-Q-)'w riti-a-iiiuGs tLLiCtkx k;v,ti +bibbd614iU ,,„" �611LII� <br />Ja trtONWNTAL HEALTH DIVISION Z,00/060 <br />304 FASTS WEBER AVENUE, THIRD FLOOR <br />STDCKTON CA 95292 <br />(209) 4GE-3420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />APpuCA►+rT S. WaaypQ &Qom ib-uW rus,r �ssrnG;=t+iCY l�,�i 5 ��. El `"tche Mack jLP <br />A11DRM 4()l Fest A St.,. Ste 2600, San DiAcIO., CA 42101 <br />PHONE (619)236-1551 FACSIM>LL; ( 619) 696-1 41 0 <br />TENTATfVFM* APPcAWrMrLNT DATE March 10, 2000 __ nmE <br />(pces,e give 7 tv 14 o irs�ss clays f�o�� elate o(app+1catim submittal) <br />CHECK SCIX TD �JCP�OiTI Kf�R OA Pte— tilt!=3 rAoc"3ER IN 3 iSa,FSIn�9S DAYS <br />SIGNATURE OF APPI_Ir-MT � DATE <br />�� An1�Lss <br />4B �tphuiiders ____ <br />325 West Charter Way <br />Stockton, A 95206 <br />All fjles related to storm Water, azardau <br />ENVIRONMENTAL, Ha"TH piVISION F11 -E5 <br />9 QNRER4-AKQUN0 TANK tUBTI CL.CAXWP 6"6 ti.OP) 0 IJQLNIh9 ABATEMENT 0 F,fluA W"TC FACMI-Tr <br />X OTHER CLEANUP S1TE (NON -LOP) M FOOD FACUTY Q SOUO WAVY WHicLE <br />C3 UNDERGROUND TANTS (MONITORINGIREMOVAL) Ca DOQ KENNF6 M DAIRY <br />9 "AZARi'1OW WASTE GENERATOR n CHMON RANCH r] Wra TRLATMWl PLANT <br />a TUMED Pi^FAITTUP FACILITY M 140TIdLMOTEI- to PumPER TRUCKrYARt) k*M TOWEn <br />0 TA770QISQDY Pr.IRCING C1 roaw5PA L] LAND Ubh Al'PQr-ATION SITES <br />M MEMCAL WASTE FACJWW Q FuAWG WATER 5YSTlEM W QMIt (PLEASE 5PECIFY ABOVE) <br />1. Ust up to ten addresses in the space alzove. Select the typejs) of files fram the lint Above by checkin,0 <br />the appropriate box(es). At least one file type MUST be selected. F -Ax fQ 12091464-0138 Or mail fptete <br />44ddirss indicated above. <br />2. EHO will notify tho applicant If any EHL) files exist. An appoityti)'tent fpr ravlew will he Confirmed <br />approximately five lousiness days but no later than ten (10) days after receipt of application_ The file: <br />will be held for a maximum of five business days for review_ Appointments should loo scheduled <br />aczordin0ly. <br />3. A file that is actively being worked an by EK13 staff may not be immediately avallable for review. A naw <br />application may be submitted when the file is avallably. <br />a._ Any file not returned in the same condition as relaa5ed will tie raor9anired lay EHQ staff at the expense <br />of the applicant. Future fila reviews by the same applicant may require a 478.00 deposit prior to review. <br />S. "TENTATIVE appointment dates must be confirmed with EHD =ff. - <br />15. Applicatioris received atter 3.00 pm will be proccsaed rine next business day. <br />CONFIRMED APPOINTMENT DATE TIME <br />DATE CONFIRMED PHONE FAX INITIALS <br />REVIf-- l a YES NO REVIEW DATE _ <br />P1 ca 14 4tW&DO <br />T0TIL P.02 <br />