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TO <br /> Dart_c6C&�rtJ} � ­, <br /> SAkb w6AQU1N COUNTYPUBLIC HEALTH :,".NCES <br /> y� (� ENVIRONMENTAL HEALTH DIVISION <br /> Q`-' 304 EAST WEISERAV9NUE,THIRD FLOOR f J� — <br /> STOCKTON CA M02 LLQ/// <br /> (209}46B-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT w-Lo ' laUSiFE>=MAGENCY �F�-'A` _V.. <br /> �ro <br /> ADDRESS I$$rr%AbWA. Wi�'t' C Ynt x uk x ;; <br /> PHONE t2t^) Z34-pta IQ� FACSfHEIt.f <br /> TENTA*FrVE'APP4iFMMENTDAM 4 <br /> TIaMM wee 7 tv Ia 1xus.nsat Jaya Irom date a1 applicatiae�lube f) 3,C-7 , <br /> CHECK BOX To E7xiPEMATI! N FEE-IiEQUE3T PRO SSED iN 3 8UUMESS DAYS <br /> SIGNATURE OF APPLICANT l]ATE 3 �z ao <br /> FIDE AUDRESS THIS SIDE Flab STAFF USE ONLY <br /> PROGRAM ELEI4lEIi'rS SEARCH <br /> M <br /> - i <br /> 17VVIRONMENTAL HEALTH DIVISION FILES <br /> ZROV14DTANN CLFAkW S[TE(LOP) HOMING ABATEMENT. S� CHID WASTE FACILITY <br /> ice) 13 rOIDD FACILITY Q SOUR WASTE VEHICLE <br /> R CLEANUP Stif(NOKLCe) I <br /> Rr,ROUtO TANK W0NITORIlM6AVM0VA4 M DOG K>iNkrtl— 0 GAIRY <br /> WAS'#1r GENERATOR d C"IMN RANCH CI AKG TRFATNEW T PLAUT <br /> TIERED POW FACILITY 0 I,aCnTW"CrM . CI PUIMPSR Y9UCMAitDI WW TOILETS <br /> © TAT'FOY Pt3tR CIKG C) PAOLJSPA a UW0 USF APPLiGATKM 5ff13 <br /> O VIE 0[CALVJAYrFmFAC►.rry Q PUWI XWATER SYSTEM a 0TWff(PLM%8PECIFYAR0VIr) <br /> 7. #.is!up toten addressQs in the space ahoxe_ Select the"d(s)of Ilia&from the list above by checking <br /> the appropriate brutes). At 16211L an*file type MUST be salactcd. FAX r mail12 ILE <br /> .O,ttf).res.s irYtlitated u�v., <br /> Z EHD will notify the applicant if any EHD fil"exist An appointment for revisw will be corlflnned <br /> approximately five business days but no later than tin(10)days afar rerA4pt of*pplicatlon. The files <br /> will be held for A max'unum Of five b"lnass days for r*vi*w- Appointments should be scheduled <br /> accorongly. <br /> 3. A file ttiai i$actiYely being warkW an by EfiU staff may not ba[Mmediataly available for ret ow. A new <br /> applkatkm may b*submitted when the file is available. <br /> 4. Any fila not returned Itl the same condition as released will be rearpnized by EHO staff at Ow expense <br /> of than;%ppiicant. Future fue reviews by the same applicant may tagUire a$78.00 deposit prior to MVNW. <br /> S. 'TENTATIVE appolntrltarrt dates must be eonf}nned with EHD staff. <br /> F. Applications recelved atter 3:00 prn will be proceswd the next busine"day. <br /> CONFIRMED APPOINTMENT DATE TUAJE <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> HEVIEiRrEL1 YES NO REVIEW DATE <br />' re arnwaaa <br /> TOOL P.82 <br />