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I <br /> LIri._vm,a::Wr;yi <br /> SAN, `)AQiJIN.COUNTYPUBLiC HEALTY' ".ERVICES - <br /> J ENVIRONMENTAL. HEALTH pmL.A <br /> 304 FAST WESER AVENUE,THIRD FLOOR if 3 <br /> •STOCKTON CA 95202 <br /> J U L 1 :'Is 1 (109) 468-3420 <br /> .gipp..,;. . <br /> - PUBLIC RECORDS.RELEASE APPLICATION <br /> ApP &NT _ ,�A1 6l1SJNESS/AGENCY_ J"fi,6 <br /> ADDRESS X23 SkW mead.. <br /> dot V <br /> PHONI: U7 _ ��LJL1lO_. FACSIMILE_ <br /> TENTATIVE"APPaixTh Ewr PATE TIME <br /> (Please give 7 no 14 b utinBr�*days from dabs of application submi#ai) <br /> i(JiTS 3; <br /> CHECK BOX TO E"E1)1TE REC3J^sT-$7 Q FEE-REnUESTPROCE334IN 3 BUSINIM3 DAYS <br /> SIGN, OF APPLICANT -- oATF_ gUcynf� <br /> FI IV ADDRESS <br /> � Asa <br /> -40 Ork Irk- <br /> IR CA <br /> f` <br /> i <br /> Y �S <br /> 3s.�� ►� <br /> 3 s�fC H <br /> ENVIRONMENTAL,HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMIeNY 0 SOLID WASTE FACILITY <br /> OTHER MEANUP SITE(NON-LOP) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNbERGROUND TANK IMONITORINGIItEMOVAL) F-1 DOG KENNEL Q t]AIRY' <br /> HAZARbOUS WASTE faZNERATOR ❑ CHICKENRANCH r,1 PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILry'Y 0 MOTELA iOTEL ❑ PUMPER TRUCIUYARDICHEIIITOILETS <br /> ❑ TATTOCNHODY PEIE•ONG d 1`001_15PA o LANA UsE AFFt.icATION sans <br /> ❑ 1AF-DICAL WASTE FAGILrFf ❑ PUBUC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> i. List up to ten addresses in the spars.alcove. Select the type(s)of files from the list above by,checking <br /> the appropriate box(es). At least one fit&type MUST be.selectad. Fix to (209)464-0138 or mail to the <br /> address indicated afaay� • <br /> 2. EHD will notify the applicant if any EHD files exist. An appollltment for review will be confirmed <br /> approximately five business days but no later than tort (10) days after receipt of application. The files <br /> will be held for a rnaximuln of five bu"siness days for review. Appointments should be scheduled <br /> accordingly, <br /> 3. A file that is actively being worked on by EHE)staff may not be lmrnedlately available for review. A new <br /> application may be submitted when the file is available. <br /> A. Any file not returned in the same condition as released will be rearganiied by EHD staff at the expense <br /> of the applicant. Future'file reviews by thb same applicant may require a$18.00 daposit prior to review. <br /> 5. 'TENTATIVE appointment dates trust be tontirrned with-END staff. <br /> 6. Applications received after 3:00 pm vAl be processed the next business slay. <br /> ENT DATE TIMES <br /> CONFIRMED APPOINTMENT T _ _ ____ <br /> DATE CONFIRMED PHONE FAX INlT1ALS <br /> REVIEWED i s NO REVIEW DATE <br /> Bi 00 N altd&W _ <br /> S <br /> r <br /> k <br /> i� <br />