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05/22/Q -Tf.10:04 FAX 916 366 7013 ELEINFELDER <br /> UI f,3j002 <br /> v�Ye r�cErvEn ��� • id <br /> �I I <br /> SAN JOAQ �I <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> MAY 2 Z C003 STOCKTON CA 9520Z <br /> (209) ,168-3420 oq <br /> ' PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Gh l �1G�.Vl EUSINrssraGENCY <br /> ADDRE93 �W i7� �-_l.•I Y�L& <br /> PHONE_ .�`IIC��vCylP`! 7(�I _ FACSIMILE„ �g1(0 <br /> TENTATIVE"APPOINTMENT DATE �� I v (�✓IVl.I/L�.E�II��y �- U � �/ <br /> (Please give 7 to 10 business days from datc of appli'2 n.--submil240 ✓ <br /> `--' CHECK BOX TO EXPEDITE REQU'E3S r-587.00 FEE–RL41 T°ROGtc58EU IN BUSINEtiS DAYS 3 <br /> � <br /> SIGNATURE OF APPLICANT VIaJ ,� , _ LIA711- <br /> FILE ADDRESS THIS SIDE.EIID SI AFT USE ONLY <br /> MoG1RAM ELENI WTS SEARCH <br /> In <br /> 14 <br /> s ��34 a s <br /> Ch ni,ex.1-411,111"101 IP 11 IP11111 <br /> "� <br /> e ✓ r�� <br /> J l!1J -3 2003 ENYIRONMSITAL Hf_ALTH DIMS <br /> ,Bf UNDERGROUND TANK(UST)CLEANUP 51TE(LOP) ❑ HOUSING ABATEMENT � (� <br /> UTHEIR CLEANUP 3n-9(NON-LOP) ❑ ROOD FACIL rrT (`—VA <br /> NDERGROUND TANK(MONITORINGIMMOVAL) ❑ DOG KENNEL <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH <br /> '(Y TIERED PERHI ITED FACILITY ❑ MO-rcuhiOTEL <br /> ❑ TATTOO/BODTPEIRCING I7•P00LJSF'.4 - <br /> ❑ MEDICAL WASTE FACILrtY d PUSLIC WATER SYSTEM <br /> 1. List up to ten addresses in the space above. :elect the type <br /> the appropriate bores), At least one file type MUST be Selel <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files e.cist. An appot _.. _............. <br /> .,.� <br /> approximately five business days but no later than ten(10) days after re,:;eipt 0"application_ The files <br /> will be held for a maXimum of five busine:is days for review. Appointment:;should bin scheduled <br /> accordingly. <br /> 3. A fila that is actively being worXed on by FHD Staff may not be Immadiatuly 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 reorganiz nd by EAD staff at the expense: <br /> of the applicant_ Future fill: reviews by the same applicant may require at$117.00 d poNit prior to fevie'.v. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff, <br /> 6. Applicadons received after 3:00 pm will bq processed the next business dzy. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />