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_ % � O P <br /> .O1 <br /> Aug-08-02 04: 15P � G"Uwja n.x <br /> SAN Lr <br /> i-40ENVIRONMENTAL HEALTH DIVISION �� <br /> 304 EAST WESER AVENUE,THIRD FLOOR D <br /> i STOCKTON CA 95202 Li <br /> (20)46a-3420U + . <br /> PUBLIC RECORDS RELEASE APPLICATION IL�1I <br /> (� n ICr <br /> 1 APPLICANT � BusINESS7AkBNCY <br /> ADDREwS / 7/l Al C f 1,s, C.. <br /> PHONE 55 PACSTMILE SS 3�j;�-da0l <br /> TENT TI OI <br /> APPNTMENT DATE G v s '91,1ME6,0L <br /> T....� (Please yive 7 to TO business from ri6le of sp tiPn Subm' ' <br /> UiECK <br /> BOX TO EXPEDr c REQUEST•SIPJ" C S EUSIWSS DAYS <br /> SIGNATURE OF APPLICANT q DATE <br /> i <br /> FILE ADDRESS THtS SIDE EHD STA USE ONLY <br /> PROGRAM ELEMENrs SEARCH <br /> J _ { <br /> A). <br /> i <br /> S Ai r Ii <br /> S ,T/v r�.✓ ,5 3 a I <br /> /YJELLeu/ ST, aUAO- lam- I-D 3,2 <br /> �j <br /> U 1� <br /> �/ ENVIRONME' <br /> TP UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ )LID WASTE FACILITY <br /> M PTH°R CLEANUP SR£(NON•LCP) C )LID WASTE VEHICLE <br /> C�'JWXU=DUND TANK(MONITORINWREMOVAL) �J --- -- - �/+��II�,� AIRY - <br /> ENT PLANT <br /> M T)EREDPEURMrrrE FACWASTE NEry TOR C .3ZSZ A•tJ� `•�"�"'�"Q' LIMPKG ER TRRUCKlYARD,'CHEM TOILETS <br /> 0 TATTOOIBODY PEIRCING ❑ `. AND USE APPLICATION STIES <br /> ❑ MEDICAL WASTE FACILITY O �' THXR(PLEASE SPECIFY ABS) <br /> t. List up to ten addresses in the space r from the)lrt above by checking <br /> the appropriate bOX(as). At least one I to J209)46"135 or mail tg the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EH r review will be confirmed <br /> Approximately five business days but t !acelpt of application. Tba flies <br /> will be held for a maximum of five bualness days for review, Appointments should be scheduled <br /> I <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be eubm•Itted when the file Is available. <br /> A, Any file not returned in the Same condition as released will be reorganized by FHD staff at the expense <br /> of the applicant. Future flip reviews by the same applicant may require a $89.00 deposit prior to review. <br /> 3. "TENTATIVE appointment dates muot be Confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will he proc"sad the next business day. <br /> e <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS ' <br /> LREVIEVYED YES NO REVIEW'DATE <br /> =x-11-2002 MON 10:51HM ID:K;ZAZcN AND ASSOC ;j PFNeF:'1 <br /> L ..rte•- _ _. r' <br />