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ENVIRONMENTAL HtALln <br />ganA EAST WEBER AVENUE; THIRD FLOOR <br />J U L 2 5 2000STOCKrON CA 95202 I <br />�- . (209) 468.3420 41 <br />..'_s. ENVIRONMENT HEALTH PUBLIC RECC)RDS RELEASE APPLI AT10 <br />BUSWESWAGENCY <br />TTrl e — `�'il?Qltivfw.. k.S� PrY1c. IF��rc, hG <br />APPLICAN_���y <br />* s.. <br />PHONE <br />TIME <br />APPoINTMEW ♦ .. <br />110 iubmIthm <br />El CHECK BOX TO EXpeDrTE REQUEST -;7&00 FLE -- REQUEST PROCESSED IN 313USINESS DAYS <br />DATE C� <br />SIGNATURE OF APPLICANT <br />11113 SIDE EHD STAFF USE ONLY <br />FILE pQDRE3S PROGRAM ELEMENTS SEARCH <br />ENVIRONMENTAL HEALTH DIVISION FILES V�Vuvuu JUL 26 2000 <br />(n !{OIISING AF3ATt]111zTiT <br />C3 SMD WASTE FACILITY <br />UNDERGRCiIlND TANK lel? CLEANUPS (LOP C3FOOD FACILITY Q DAIR WASTE VEkittri.k <br />OTHER CLEANUP SITE (MON-LOP) ❑ DOG KENNEL ®DAIRY <br />iS UNDERGROUND TA14K(MONITDRiNGA-IF- OVAL) ❑ giIG1¢NRANCH o AKATREATMENT' PLANT <br />bHAZARMUS wASTL' GENERATOR ❑ MOTEUtiOTEL 13 PUMPER TRUCK111ARDIGHENiTOILE" <br />a Tmen PERMITTED FACIL n Y®POOLtSPa C3LA= USE APPLICATION SITE8 <br />f3TATrOOA3MY PEIRGtNrs CI pUWC WATER SYSTEM Q OTHER (Pr l=ASE SPECIFY ABOVE) <br />O IAEDICAL WASTE FACILITY . <br />1. List up to ten addresses In the space OS <br />above. Select ttlra WOW o #- of alas from the list abate by Checking <br />lg <br />the appropriate box(ar). t least one file type MUST be se_ r -a tCI �t64.01 8 or mail �t <br />pddMt Mtcat-W above, lritm®nt far reviavv will <br />2. EHD will notify thbe confirmed <br />applicant if any EHD filar exist. Art appointment <br />ays but ata later tent c40) days aps�houidpbQ scheduled filea <br />approximately five business d <br />will be held for a maximum of five business days for review. Appomt <br />accordingly. EHD staff may not be immediately available for review. A new <br />3. A file that is actively being worked an by <br />application may be submitted When the file is avallable. <br />4. Any file not returned In the same condition as released will <br />nt rtya r rreq anLced by EMU Staff at the re a 8. 0 deposit prior to expense <br />of the applicant Future file reviews by the same appy Y <br />5. *TENTATWE appointment bates must be confirmed with EHD staff. <br />6. Applications received after 3:00 ppm will be processed the next business day. <br />CONFIRMED ApPOINTUENT DATE TWE <br />PHONE FAX INITIALS <br />DATE C0 FIR.MED <br />REVIEWED YES <br />NO REVIEW DATE <br />eM on 14 TOTAL p.02 <br />