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�A L aw. <br /> 4-r II <br /> 611-�=-_UUU i� 1�h'I i M S Uf l 'l� rafUM !.. <br /> SAN JC JIN COUNTYPUBLIC HEALTH SER_ FS <br /> ENVIRONMENTAL HEALTH DIVISION JAN 14 2000 <br /> r O O 304 EAST WEBER AVENUE,T141RD FLOOR <br /> STOCKTON CA 93202 `NVIRONIV1�IV TA.�_ I E <br /> (209)46a-3420 I ,�LT N <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> f'EHi�,gl <br /> APPLICANT G B�USINESS`IA'G-E17CY <br /> ADDRESS <br /> PMokE ql�o X11 C (tr1 —FAcslMlzE /(Q- qdq <br /> TENTATIVE APPOINTMEM DATE`_ TIME <br /> 1PIaaae give 7 to 10 business days from daUe of application submiltsi) <br /> CHECK BOX TO EXPEDITE REQUEST-$78A0 FEE—RLQUE PROCESSED IN 3 USIHE53 DAYS <br /> SIGNATURE OF APPLICANT _�" __ DATE �-1 0 <br /> FILE ADDRESS <br /> `5 e.. z. L•� �, <br /> HOW <br /> I 5 <br /> ENVIRONMENTAL HEALT1i DIVISION FILES <br /> K'-U'�ERGROUND TANK JUST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT Q SOLID WA5TE FACiL"Y <br /> 0 OTHER CLEANUP SITE(NON-LOP) D FOOD FACILITY O SOLID WASTE VEHICLE <br /> I< NDERGROUND TANK(momrTORINWREMOVAL) ❑ DOG KENNEL C3 DAIRY <br /> $ HA7ARDOUS WASTE GENERATOR O CHICKEN RANCK O PKG TTZLATMENT Pt ART <br /> Cl TIERED PEWAITTED FACILITY ❑ PAOTEUHOTEL 0 PUMPER TRUCKIYARDiGHEM TOILETS <br /> O TATTOOieooY PEIRciNG Cl POOL/SPA O LAND USE APPLICATION SITES <br /> n MEWAL WASTE FACiLITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses In the space above. Select the typo(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. FlIx to(2091 404-01311 or mail to the <br /> addre6e indi4ated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days; but no later than ten(1D) days after receipt of application. The files <br /> will be held for maximum of fives business days for review. Appointments should be schaduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EkiD staff may not be immediately available for review. A new <br /> application may be submitted when the file Is avallable. <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 ST8.00 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 APPOINTMEiNT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> :71ESI'.'ED YES NO REVIEW DATE <br /> s><w w �a <br /> TOTAL P.02 <br />