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1;1ij)Loa stimaert <br /> c-L <br /> I[-­''),"/ 3ANjjJ0A1'_ 'IN COUNTYPUBLIC HEALTH SER"' "ES <br /> ?. r <br /> Er%PtRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THiRo FLOOR <br /> APR 0 3 2003 STOCKTON CA 95202 <br /> (209)4683420 <br /> i-NIVIRONMDU I,'IPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT BUSINE3.51AGENCY L-mazM <br /> ADDRESS 14..L. 1102. 0. <br /> V <br /> PHONE 510 FACSIMILEs2a zo-ag <br /> TENTATIVE*AP:'CINTMENT DATE <br /> MJ9256 giviv Ito 10 businacs days from date or applNution submitt;aQ <br /> HECK BOX TO FXPEDIT:REQUEST $80.00 FEE-REQUEST PROCESSED IN 3 101.15INESS DAYS W1 <br /> SIGNATURE OF APPLICANT DATE <br /> !ILE ADDRESS THIS SIDE EHE1 STAFFMSE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> gasT <br /> L <br /> A ki ML <br /> qT <br /> "T'h < -d <br /> LEnje- <br /> 3q <br /> IENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(US--)CLEANUP SrTE(LOP) 0 HOV31NG ABATEMENT 0 SOLIII WASTE FACILITY <br /> CIS OTHER CLEANUP S[TE(NOV-LOP) 0 FOOD FACILITY 0 SOLID WASTE VO-MICLE <br /> UNDERGROUND TANK(MO41TORTNGfREMOVAL)_..0 DOG KENNEL 0.DAIRY- <br /> PtANT.. <br /> O TIERED PE0,WITIED 11Y ry 0 MOTF-UHML 0 PbmPER rRUCK/YARDICHEM TOILETS <br /> 0 IATTOOn3ODY PEIRCING 0 POOL/SPA _ 0 LAMP USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 ONEMENJENN11MM 0 OTHF_R(PLEASE'SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the typels i of files frarn the list above by checking <br /> the appropriate box(es). At least one file type MUST be selectipd. Fax to 2g2LJ644)138 or mall to the <br /> address Indicated above. <br /> 2. EHD will notify :he applicant if any EHD files'exist. An appoln,:ment for review will be confirmed <br /> approximately live business days but no later than ten(10)dabs after receipt of application- The Files <br /> will be hold for a maximum of five business days for review. Aippointments should be scheduled <br /> accordingly. <br /> 3. A file that is aclively being worked on by EHO staff may not W,Immediately available <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'�- 'audii-0 <br /> of the applicant. Future rile reviews by the Same applicant may require a 589.00 deposit prior to review, <br /> 5. 'TENTATIVE a;poIntment dates must be confirmed with 1EHC1 ataff. <br /> 6. Applications ro=eived after 3:00 pm will be processed the ne;K':business clay. <br /> CONFIRMED APPOIN-MENT DATE TUE <br /> DATE CONFIRMED PHONE Fjk:( INITIALS <br /> REVIEWED Y I S NO REVIEW DATE <br /> _j <br /> 04/03/03 TWC 13,20 [TX/1RX NO 9602) (in 002 <br />