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4 <br /> V F \ <br /> 10/01/2002 ' 15:08 4648138 ENVTRONMENTALYALI-M D E <br /> r <br /> � � <br /> DATE RLLG�YrO Ealb%*G INJUM <br /> SAN JENVIRONMENTA HEALTH DIVISION SERVICES 0 Q 2 ZDOZ <br /> 01* v 304 EAST WROER AVENUE,THIRD FLOOR 'STOCKt'ON CA 05202 ENV1ROfdNlEtdEAlTK <br /> -f 1iHER <br /> (209)468~3420 P51WjSERV1GES <br /> PUBLIC RECORDS RELEASE APPLICA71ON ' <br /> APPLICANT. Iv �H AJV U <br /> BtlSttiEt5.5lArstiNCY � <br /> p� - <br /> ADDRESS 39j MCA:Ldt Q 'vc r St,-h y&&i C _ <br /> PHONE $'- ,�9 i-- ��',...,_ WsemiLs 3 <br /> • TENTATIVW-APPoiNTmaNT DATE,10 2 up 2. <br /> (Pfeil 7to1l s 56 f �p1Y Ot�PPlletan aubml tl <br /> cnGKBOX TO EXPEDITE RQUEST-:5M00 FEE-REQU PR SED13 <br /> Y <br /> BUSINSSS 0AY3 <br /> SIGNATURE OF APPLICANT /a4kc DATE /l7 O/ D 2 <br /> 4 <br /> FIL6 ADtlRE55 THIS BfUE EHO STAFF USE ONLY <br /> 1yR17GRA>VI>=Ll'-"�tENTJ;S6AR1:7i <br /> A%,t f <br /> j <br /> ENVIRQNMi;N'TAL HEALTH DIVISION FILFS <br /> 61 UNDERGROUND TANK(U3T)CLEANUP SITE(LOP) d HOUSING ADATEMENr M SOLID WASTE FACILITY <br /> Ig MHER CLEANUP Silt~(NQN.140P) IR FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> CO 9jN0r;RGRCUN0 TANK(Nl0NII'0W>'0MXM0VAt.) Q DOG KENNEL IIS DAIRY <br /> 0 HAZAp.00US WASTE G"MATOR t3 CHICKEN RANCH 17 PKG TRBAT6tENT PLANT <br /> 0 TIERED PI=RIVIit TSIf fAC1LITY [3 MOYMMOTEL ci PUMP6R TRUCWYAROMHEM T03LU:T <br /> 0 TAYT73p100DY PEIRCING 0 POOLISPA ❑ LAND USE APPLICATION S1T1z.T <br /> O MEDICAL YIfA6iT6 tRACII iTll , Q PURUC WATFR SYSTr=M 0 On49R(PLEASE SPEC"ABOVE] <br /> � <br /> i. List up to ten addresses in the bpeco above, select the type(s)of ides from the list above by checking <br /> the appropriate box(es). At least one file type MUST to selected. Fax to(20M 464-0936 or moil to Ohs , <br /> address i . ' <br /> 2. EHD will notify the applicant if any END files exist. An appolntmmnt far review will be confirmed <br /> approximately five buainaso days but no later than On(10)days after reaeipt of application. The files <br /> Will be held for a maximum of five business days for review. Appointments should be scheduled <br /> aeedrdrngly- <br /> 3. A file that-in getivety bping worked on by EHa stsH may net he Immediately available far raviaw. A naw <br /> application may be submitted when the file is available. <br /> 4. Any fila not r :turnod ih the same condition as released will be reorganized by END staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$89.00 deposit prior to review. <br /> 5, `TENTATIVE appointment.dates must he confirmed with 121-11)staff. <br /> 6. Applications received after 3.00 pro will be processed the next business day. <br /> COWIRMED APPOINTMENT C)ATE. TIME ' <br /> DATE CONFIRMED -- _. PHONE FAX INITIALS <br /> RP-VIEWED YE$ NO REVIEW DATE ...».. <br /> TO 39vd 68BIT6650Z 00*51 L661/Z9/T0 <br />