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Apr•15. 2004 10:56AM � 0• Anderson & Assoc. <br />C <br />APR 1 5 2004 <br />t1C AJH <br />SA v {JUIN COUNTYPUBLIC HEALTH S rt t ES <br />ENVIRONMENTAL HEALTH DMSiON <br />304 EAST WESER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />(209) 460-420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />No•4781 P - 2 <br />APPLICANT'�1--��� �� G.� Fes' BUSRiF,SfAGENCY jV �' i C= ! th�C. -,o )- * ASS'L cxa4-es <br />ADDRESS 902- Lodi c A cr 5 2zf 0 <br />PHONE FACSIMILE ZQ `1 - 3 6 `) -,7 g <br />TENTATIVE'' APPp1wmr=NTDATE _/ /trot` Gbh 200Y -nME $ A t <br />(Ploasa give 7 to 10 busirtsss days from dA* of vWlo ilon wbm tt f) <br />CHECK BOX TO EXPEDITE REQUEST C FE - RE U PROCES3t.D IN 3 BUSINESS DAYS Up <br />SIGNATURE OF APPLICANT DATE �'s <br />F1LE ADDRE S �t rrM SiDE EHD STAFF USE ONLY <br />t S OC If'TQ, 9520 6 PROGRAM ELEMENT'S SEARCH <br />G ol,a i i o <br />Gd - "M or z z c <r�wRik <br />4erjjSS0--L4,A21 Z3633 r/ <br />ea <br />3 <br />ouD wASTI: CACILtTY G Gj <br />y M ct <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />DERGROUND TANK (UST) CLEANUP SITE (LOP) 0 HOUSING ABATEMENT <br />__ SER CLEANUP SITE (NON -LOP) <br />MJINDEROROUND TANK (MONITORiMIREMOVAL) <br />13 FOOD FACMM <br />O DW KENNEL <br />GENtRATOR <br />O CHICKZN RANCH <br />OXHAZARDOUSWASTE <br />TLERM PERMrrTE0 FACiUTY <br />Q M07ZLIHOTEL <br />❑ TATTO01300Y PEIRCING <br />d POOIJSPA <br />O MID1CAL WASTE FACILITY <br />d Puauc wATER SYSTEM <br />O SOLID WASTE VEHICLE <br />Q DAIRY b� <br />O PiCO TREATiMENT PLAN <br />❑ PUMPER TRUCK1YARDICHEM T01LETS <br />CI LAND USE APPLICATION Sn'" <br />O 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 Wloctod. Fax to (2091 484.0138 or mail to the <br />iddress indicated above, <br />2. ENI) will notify the applicant If any EHD file& 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 Das <br />will be held for a maximum of fire business days for r*vvlew. 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 new <br />application may be submitted when the filo 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 $88.00 depot:it prior to review. <br />S. ~TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE <br />DATE CONFIRMED <br />REViEWE13 YES NO <br />TiME <br />PHONE FAX <br />REVIEW DATE <br />INITIALS <br />