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JUN-01-2000 15:24 WOODWARD-CLYDE CONSULTANT 510 874 3268 P.02i02 <br /> � JASV "Jgt;(V lnl I.VUtVt trunu>,, ncr�Lln r�Rvl\.GA <br /> ENVIRONMENTAL HEALTH DIVISI <br /> 364 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 9$202 <br /> (209) 468-3420 <br /> I PUBLIC RECORDS RELEASE APPLICATION <br /> !APPLICANT. <br /> SINFSS:AGENCY <br /> 1. <br /> �a s -10 FACSIMILE <br /> - 3 X10 n - ztg. <br /> TENTATIVE'APPOINTMENT DATE Cy. w- TIME <br /> (Please give 7 t010 b63ina4s days 1.pm date Sebmiaal) <br /> l <br /> CHECK 804TO EXPEDITE REQUE. - 8 00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> i <br /> SIGNATURE OF APPLICANT _ �' DATE ©S /D0. <br /> FILE ADDRESS Fa$ THIS SIDE END STAFF USE ONLY <br /> 7`106 PROGRAM ELEMENTS SEARCH <br /> 59jWfiCS id 1313 B•GH,�x &JAAe 1. <br /> IS 6 f41q C'Nvo x7o7C. WAY I <br /> � <br /> A . 12�147 s. wiL-6aAs WAY I. <br /> 12P SA ;LSew a4q .2 <br /> fYtwLTLAT NEr C' 1-2 S' Wi 001 &AAq A. <br /> i>fE N /NVS'S • S164A4 <br /> TIAL10-:2wt[tSoN J• <br /> DstT� �2-t S. tL9aN pJ t. <br /> C- sR.Vt+ 45'9. S. L17i670A 1sT I, <br /> riK N Ce . il?a5- C4+A-Aw 1. <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> /'•'A UNDERGROUND TANK(VST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT C SOLID WASTE FACILITY <br /> ;-I& OTHER CLEANUP srrr(NON-LOP) 0 FOOD FACILITY 0 SOLO WASTE VEHICLE <br /> 3-'JR UND£nGROUNDTANK(MONTTORINWREMOVALI 13 Doe KBNNeL 0 DAIRY <br /> iin HPZARDOUS WAZTR GENERATOF D CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED?FRI,tnT:n r-;V_J rY 0 MOTELTHOTEL 0 PUMPER TRUCKNARDTCHEM TOILETS <br /> ❑ 7-J1r RC1,1'G 0 POOVSPA ❑ LAND USE APPLICATION SITES <br /> G :e$n1r�:,L ,.;;c,7 •: .�'.ILIT'C a PUBLK•.WATER SYSTEM 13 OTHER(MEASE 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 hox(es). At least one file type MUST be selected. Fax tO209)464.0138 or mail to the <br /> i address indicated above. <br /> i2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days aftar 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 he immediately available for review. A new <br /> application may be submitted when the rile 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 678-00 deposit prior to review. <br /> I S. TENTATIVE appointment dates must be confirmed with EHD staff, <br /> 6- Appllcations receives after 3;06 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX IN ITIC.LS <br /> REVIEWED YES NO REVIEW DATE <br /> >�w fa av�uao .. . <br /> . - TOTAL P.m <br /> TOTAL P.02 <br />