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I , 4raC1J 14:Lr1 G�J4167709 I <br /> EXCELLENC n. -x <br /> N RL I r, PAGE 01/0 <br /> ,:�f)�; {! 1 SANJ4 COU LUQ jvV <br /> Nxx <br /> ENVIRONMENTAL RUA-LTR DFPA�.Yi'X'.�bJ(ENT <br /> S F P 3 0 zQ� 304 Weber A,ve 3 F100x Stockton, CA 9S205 € <br /> ( 9) 468-3420 Fax: (209)464-008 Web: ui <br /> �.fJl�li3ONNIE 1 HEALTH 1 �[ n.Ga.uslehd <br /> ''EFS �IT/513/iI;ES PUBLIC RECORDS RELEA,SEAPPLICATIO�Y <br /> APPLICANT: S { i, i M ( :+ <br /> BUSTNESSIAGENCY:� L(I C-0C19- <br /> .? � �w e*1- 14-109) �� <br /> EriONE: -"7fDp FACSIMILE: 01) <br /> 70 <br /> TENTATIVE* <br /> TENTATIVE*APPOINTMENT oATE: Ig Sao v i (,?,a d p d tgvl,l <br /> me <br /> t (Please allow 10 buslnass tfays from date of api"llori submittal) <br /> CHRCf(BOX TO EXPEDITE REQUEST $03.00 F E REQUEST PROCESSED IN 3 BUSINNOS DAYSs <br /> I SIGNATURE OF APPLICANT .� s <br /> DATE �b D <br /> narlinont Use Only <br /> I <br /> FILE ADDRESS I� llNfr <br /> El <br /> pUnit 1AA � C.,rel fi. c, a 'I !r'tUL unit 2 <br /> z. s et ll ii <br /> a <br /> - Unit 4 <br /> - <br /> ❑ Unit 5 <br /> f ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �ERGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ADATEMENT t7 SOLID WASTE FACILITY <br /> _R CLEANUP SITE(Nt]N-I.OP] C7 FOOD FAGIT TTY QapLID WASTE VEHICLE <br /> 780 OUND TANK(MONI MRINGTREMOVAL) 0 DUG KENNET. © DAIRY <br /> RDOUs WASTE GENERATOR Q I'I CHICKEN RANCH fD <br /> PKG TREATMENTPLANT TIERED FERMI TED <br /> FACILITY Q MOTELIHOTEL L] P ER TRUCKJYARDICHEM TOILET': <br /> C] TATTOO1800Y PIERCING Q POOLlSPAANn USE APPUCATION SITES <br /> `'M MEDICAL,WASTA FA011,l'r1r ❑ OT14ER{PLEASE SPECIFY} <br /> i� <br /> 1. List tI to ten addresses In the sputa above. Select the of ' e list ab <br /> p p type(s) files frarrl th {st ova by checks, <br /> the appropriats box(as). At least ane file type MUST be selatitad. 0-�ya to 12091494-0138 or <br /> address indicated above. i <br /> 2. EHD will notify the applicant if any EHD flies exist. An appointment:for review will he confirmed <br /> approximately five business days but no later than telt (10)days;after receipt of applica#ion. The file <br /> will be held for a maximum of five business days for review,IlAppiplhtrnantS should be scheduled <br />�. <br /> accordingly. <br /> J. A file that is arAvely being worked-ort by EHD staff may not b0 Immediately available for revlaW. A r <br /> application may bo submitted when the file is avalialble, <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expel <br /> of the applicant_ Future file reviaws by the same applicant rriay require a$93.00 deposit prior to rev i. <br /> *TENTATIVE appointment dates must be confirmed with PHD'stafli-l <br /> ia.. Applications received after 3:00 pm will be proconsad the next business day. <br /> CONFIRMED APPOINTMENT DATE _ TIME <br /> QAFF-CONFIRMED PHONE FAX INITIALS <br /> PREVIEWED YES NQ REVIEW DATE <br /> ENV <br /> — <br /> ENV aa-nwoa <br /> ., a l <br />