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A 23 �'�QI 13EP�1 EARTH TFC <br /> LOU C. <br /> [1ATc`WC£1VeU � - � -.�) 4fU lGG NUMBER <br /> - SAN J .)UiN COUNTYPUf3LIC HATH .VICES <br /> o� ENVIRONMENTAL HEALTH DIVISION <br /> 'JG 2 Al 2001 304 EAST WESER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 J <br /> -3420 <br /> = PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �'1a�•�i tti�ttiu S Bi1S13aE5SlAGt;liCY (-00,4LO, E:�ar itn. :j,—ckvt-,ntv ia.S <br /> ADDRESS 188 �.-�rk kJas+ C;>r�l � ,, S �t�+� c.A 95-2.0 4 <br /> PmoNe 2-01 - 2 3� - ns—[8 FACSIMILE '1 C) 4 23 C7 51,8 <br /> TENTATIVE*APPOINTMENT DATE S�3a�Zoa t _ -nmE <br /> (Please give 7 t4 16 business days from date of appLkatlon submittal) <br /> Uti�r5 �3, <br /> CHECK SOX TO EXPI;DZTE REQUEST-$31,00 FEE-REQ ST PR S IN 3 WSINESS DAYS <br /> SIGNATURE OF APPLICANT � DATE8 2 3 <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> I Ins lel �, <br /> 1 l 2.c7 — <br /> 113 � •GU Mti <br /> k I t <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> IZUNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT M SOLID WASTE FAal-ITY <br /> OTHER CLEANUP 51TE(WON-.OP) Q FOOD FACILITY CI SOLID WAM VEIItCLE <br /> G HOERGROUND TAr1K(MONrFOPJ�iGIREMOVAL) 11 DOG KENNEL 13 DAIRY <br /> %HPAZARbOU.S WASTE GENERATOR C3 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> 0 TIERED pr"ffTEU FACILITY 0 MOTELIHOTEL C2 PUMPER TRuCKyAP.=HF31 TOLL.ETS <br /> ❑ TATTOCIBODY PEIRCiNG 13 POOI ISPA ❑ LAND Z)SE APPLICATION SITES <br /> GY MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 9. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST bs selected. Fax to (209)464-0938 or maif to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EMD 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 an 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$87.00 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 />