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I <br /> SARI J VIRO <br /> _..- --mow n..-- <br /> OUNTYPURLIt: H ►LTMMh <br /> VII;ES <br /> LJ NMENTAL HEALTH DIVISI <br /> MAY 2 2 G G 1 304 EAST WEBER AVENUE, <br /> 952x2 THIRD FLOOD_ <br /> STOCKTON <br /> (208)468-3420 <br /> i,r : H PUBLIC RECORDS RELEASE APPLICATION <br /> ,1 <br /> APPLICANT Je r C7- BBUSINESSIAGENCY CVV 1 Uff0Y 16E CK16or? <br /> 2 6 <br /> PHONE QJ—/8 FACSIMILE_-W D Cl~'��Y" E>J-:78 <br /> TENTATIVE*APPOINTMENT DATE J7 /7/o 1 TIME <br /> (Please give 7 to 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEUZAz <br /> .00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> ew­ <br /> SIGNATURE OF APPLICANT � DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROORAM ELEMENTS SEARCH <br /> - <br /> -fl <br /> n <br /> c) 1 1"a 1"•Lrro WL <br /> K- <br /> ,2233 <br /> '� l ff �� ��'�7 X341, -Z Sdr .13 o Z £so, o <br /> Z2Z7 <br /> '7 1 c <br /> A Gi .1.224,-239 <br /> i <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> KUNDERGROUND TANK(UST)CLEANUP SITE(LOP} ❑ HOUSING A13ATEMFUT SOLID WASTE FACILITY <br /> ,K OTHER CLEANUP SITE(NON-LOP) D FOOD FACILITY SOLID WASTE VEHICLE <br /> XUNDERGROUND TANK(MONITORINGIREMOYAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKFN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOYEIMOTEL ❑ PUMPER TRUCKIYARD1CHF-M TOILETS <br /> ❑ TATTOOIBODY PEIRCING El POOLfSPA ' . ,X LAND USE APPLICATION SITES <br /> ❑ IWFPICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM t7 OTHER(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 box(es). At least one file type MUST be selected. Fax to (209)464.0138 0l lllaLt4She <br /> address indicated 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(alter than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A novo <br /> application may be submitted when the file is available. <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$B7.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with END staff. <br /> S. Applications received after 3:00 pm will be processed the next business day. <br /> .CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMEo PHONE" FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE" . <br />