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(w), <br /> iaf—��L�J�1 44�'��+"1'1 ttG.ill lU 1J:J7G+.�OGtL'1 r.V � . <br /> SAID JdAQ(.IN COUNTY,PURf..IC HEALTK SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> - 304 EAST wl=9E,R AYExuiF,°rii1RD FLOOR 17 <br /> STOCKTON•CA S5=Z -44.- 4~ <br /> (209)468,--420 � <br /> PUSQC RECORDS RELEASE APPLICATION <br /> V+APPLICAA1: �� Bt,rGINE$51AGU1GY <br /> t7`-wU0RE55 •4 �atj L4 <br /> FAI, 5S :a .4 2r <br /> TEmTATIV E-App paTe TIRE <br /> ipirss6 vivc 7 in do business days dsto of aaok4zian submittal) <br /> / 7 . <br /> GKFCK BOX TO EXPEDITE R,Ewew•Ss#.'.90 PEE-P.E=EST PROGE,55>ceD W a avSm5s GAYS ; <br /> FGNATLfRE O>= APF <br /> UCANT DATE <br /> 14 <br /> A. <br /> Tli15 T6 ISO"TrUSE ONLY <br /> {.� t� S FRC'1C.RA>tL ELZrTS SEAzctrri <br /> Is 2- <br /> I <br /> I <br /> T T t a <br /> ENVIRONMENTAL HEALTH DIVtSION FILES I; <br /> . �l uHDErioi�Ul3rsp TRreJ:(tJSTj CixAiH1Y�SETS(' l7 KOUSIIZG ABATEMENT Q SOU0 WAS <br /> FnC1uTY <br /> {� OT►iN R tL �r43P 517E{P101d i Dpi 13 FOOp FAgLt;Y 0 SW&WASTE YEt1ICLE <br /> b uuam1� <br /> C] UNDERGROUXZD TANK(�G�NlOY ' 0 DOG Y'E" - p prg JAC-.�►TryMQNT PI MT <br /> CS HAZARDouS WASTB GENEF?ATD3t g G}{ 1SEEY tzAHCFt <br /> T3 RE!]AFFlyIriTEA FACILITY 0 Pi3MPERTRUCFVYAKOMME1+4YOi 5 <br /> - fl TdOT>:S1HG'1EL <br /> '7 7ATYdC►'8C>?Y PE1RCIi fG D rQ*LMPA C1 LAND Wr-AFFUCATION SITES <br /> O MEO.CAL WASTE i'ACILITY 0 PUBLIC WAT9R SY"SSEkI � OTHER(PLEASE 5ri><GIF1!A80VQ'., <br /> 7_ List up to ten addresses:in.the space above. Select tha type{s7 of files from thl:list above by ch 'ng <br /> the appropriate box(e;i)_`At least one file type MUST be selected. Fart T. A!4-0138 r rrlail t <br /> acldr lr� i aZ i <br /> 2. EHD will qatlfy the applicant it any EJJD files a.4sL An appointment for review will be confirmed <br /> approximately five bu5inuss days but no later thaFi test(10)days after.receipt of applicatiom The fres <br /> will be held f9t a maxireum of fixe bL;sincss days for rsvtw. Appointinvats should be sclieduled <br /> accordingly. <br /> 3. A f'o%hat is actively being worked on by eFiD st0f may rsot be irrunediately aYaiWbls tar ra iew. /}new <br /> application may be s 4wtr itted whon the filo is available_ <br /> 4. Any lite not resumed in"same condition as reteascd will be reorganized by END staff at ilia exp' as0 <br /> a;the applicant Futuro Ille reviews by the s4mv applicant rmay rqu:re a$87.00 dopostt prior to re iew. <br /> 5. -TEmTATI;VE'appoiaunerft dates must be confirmed with EHD ruff. i <br /> 5. Applic4*nz received afW 3;00 prn will be processed the next business day. <br /> l <br /> CONFIRMED APPCI FNT DATE TIME <br /> DATS CONFIRMED PHOM: FAX IN[TIAO <br /> .REYWEII YES No Rl=VtZW DATe <br /> K a„cEr. .. TOTLIL <br /> Wp 1� lqv 1©-01 1037--LZ—L <br />