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DATE RECEIVER -LAG tiUMFER <br />SAN .It:, UIN COUNTYPUBLIC HEALTHAVICES <br />ENVIRONMENTAL HEALTH i3MSION <br />AUG 2 2001 304 EAST WEBER AVENUE, THIRD FLOOR <br />rTOCKTON CA 95202 <br />�PyVlf �.I�Vltiv! �-P\LiH <br />(2119) 468.3e420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />� <br />b <br />APP�JCANT M a -r i (t..o. 4 �SUSINCSSIAGEMCY COVLOLO-e t cert <br />S4 -v, -Le -4-o V14 C-,6 9!S^2 -4D lien <br />PHONE 2041 - . 3 0S P5 FACSIMILE 20-1-1.14 - ®1;%� O <br />TENTATIVE'APPowTMENT DATE &'b * t'O>G> 1 T1 8 <br />(Please $hM 7 to 10 bu:shf"S daloa frcmm date of application subuottal) <br />CHECK BOX TO E:(PMr 6 REQUEST - $87.00 FEE - REQUEST PR CESS IN S EUSINESS DAYS <br />SIGNATURE OF APPLICANT � DATE �' � � -2- <br />FILE <br />FILE ADDRESS THIS SIDE F -HO STAFF US4 ONLY <br />PROGRAM ELEMENTS SEARCH <br />q -4 Wei Si,�.kvi <br />:avz <br />z <br />o _ 1 1 1) <br />50 .579_ <br />.a <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />��MIDERGROUND TANK (UST) CLEANUP VTX (LGA) 0 HOUSING ABATEMi:N7 0 SOLID WASTE FACIUTY <br />�'QTrKER CLEANUP SITE (NON -LOP) ❑ POOD FACt f Y L SOLID WASTE VEHICLE <br />UNDERGROUND TANK (fit WIX)RINGIREMOVALj 0 DOG KENNEL ❑ DAIRY <br />M -HAZARDOUS WASTE GENERATOR © CHICKEN RANCH 0 PKG TREATMENT PLANT <br />0 TIERED PERtYItM0 FACILITY Q MOTELIHOTEL. b PUMPF_RTRUCK/YARDICHEM TOILETS <br />E3 TAiTCUISODY PEiRCJNG 0 PdOL1SPA - - ` I' LAND USE APPLICATION SITFS <br />Or MEDICAL WASTE FACB.TIY CI PUBLIC WATER SYSTEM ❑ O- i HER (PLEASE SPECIFY ABOVE) <br />1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br />the appropriate boic(es). At least one file type MUST be selected. Fax to {2091464--113$ or mail to the <br />adcil ss Indicated agave. <br />2. END will notify the applicant if any END files exist. An appointment for review will be confirmed <br />approximately five business days but no later than ten (10) days after receipt of application. The files <br />will be held for a maximum of Rve business days for review. Appointments should be scheduled <br />accordingly. <br />3. A file that Is actively being worked on by EHO staff may not be immediately available for review. A new <br />application may be^submittod when the file is available. <br />4. Any file not returned in they .same condition as released will be reorganized by EHD staff at the expense <br />of the applicant. Futuce file reviews by the same applicant may require a $87.00 deposit prior to review. <br />5. 'TENTATWE appointment dates must be confirmed with EHO staff. <br />6. Applications received after 3:00 pin will be processed the next business day. <br />CONFIRMED APPOINTMENT <br />OATE CONFIRMED PHONE FAX <br />INITIALS .. _-- <br />