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jWSL ti1L1.fYa:J i Y.It:ILw ri4�lti+. <br /> GA�4 WQUIN COUNTYPUBLIC HEALTH S*CES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> D C 344 E=AST WFF� AVENUE—THIRD FLCPOFL �L <br /> U l�� $Tt3GK CA 9=Z <br /> JAN 1 ? 2001 (209) -34n <br /> PU.BLf C RECORDS RELEASE APPLICATION <br /> �' �' '` _BUSWE=AGENCY <br /> E . ;l L, <br /> A�vld:ss Y1 e Ld :Vh S^ <br /> Ptt4M@ <br /> T�IUTATIVE*AFDC qx'MExr DATE In 2-(0 Tihm p 4,T)nUK� <br /> (Please ovv T w'Bir puniness #om dale Gi;>> [itxv 8adrmlttal} �`� <br /> CMECK BOX TQ EXPEDITE REgUEST- .40 6E,-RE FO IH 3 BUSWE.SS DAYS <br /> MGNATURE OF APPLICANT DATE <br /> c ss tt Tris sm ENO STAFF sc�+ <br /> 1 6 Df�a <br /> 2} s o 4J - <br /> Sc m' - <br /> (�.?or S c rl <br /> Era rrEL. <br /> l t]es u)o1.ri � <br /> p C)4- fir. c�G m e -a (_. <br /> � 3 SoLc S k. <br /> EIYYIRONMENITAL HEALTH DiVIS1ON FILES <br /> UNDMAOU rD T,�rW(US n CLEANUP UTE(LGF) B K A$AUMINT a 8W0 wASn ;ACu1T F E B ^" <br /> TtrER CLEANUP SITE(NONAPP,} C7 MQUTY ❑ SCUD WASTE VEIICtA _ � �; O1 <br /> UNDFAMOUND TANK(IMOMTOPJWW.EM4VAL) ❑ DOG KENNEL ❑ bALRY <br /> r11AZA,RDQO WAS72 6FNEH^l'dR 19 CMC14ZN RANCH D PKG TREATIIENTP"ftT <br /> O 73ErtFO Po MUTED FACMM O M •TEtlle(YrEL 0 PLOWER TRUCKIYARaCHENTt?1i.ET's <br /> C3 'TArrOOMODY FE> CR40 ' ❑ A 4 LAND WE APPLIrATM SM <br /> Ll m DrAL VV;S E FAC UTY XFVUMX WATER SYSTEM ❑ OTM(PLEASZ SPECIFY ABOM <br /> 1. List up to ten addressas in the spats above. Select the s)of Tilas from the list atbovo by<dtoWdnq <br /> the appropriate box(es). At least one file type UST be sgl . Fax to(209 ,484-0138 or ntait to the <br /> tela lndlcated'above. <br /> 2 EHD will ttatify the applicant if any EHO files exist. An aWairdmant for review VAll be confirmed <br /> apr rorjmt-my five business days but no later Umn telae(10)days after receipt of applicatton. The files <br /> will be held for a maWrnurn of fever business days for review, Appointments should txe scheduled <br /> accordingly. <br /> 3. A file that is activetyo being worked an by EHD staff may not be immediately availablC far review. A new <br /> aptpEicatlon may be submitted waren the file Is avaliabie. <br /> 4. Aly Me not rstunwd in the same condition as released will be reorganized by EH®Staff at the expense <br /> of!tha applicant Future filo ravk s bX applicant tray reguare a.$87.00 deposit prior to revIew. <br /> 5. ' gNTATIVE appuintumnt dates:swat be confinyad with EHD staff. <br /> 6. Agptleatipns nMO(Vid of W 3:99 pm Will ire PrOCCSSed the 1'IW business day. <br /> CONFIRMED APPQINTMENT DAVE TIME <br /> DATE CONS,IRA -U Fq4ONE FAX INif1ALt's <br /> ---.� <br /> REVIEWED! YES NO REY11SW DATA; <br /> TQTPL P.131 <br /> TOTAL P.01 <br />