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1 <br />J <br />_4ab•19- 2002 2:�OPM t -)OR EARTH TECHNOLOGIES F ic•b4UI <br />b!+-rQ RECEIVED %_ 11 <br />erw toaaw <br />SAN ,10AQUIN COUNTYPL1Bi4#G HEALTH SEF7V#CES 01 7� <br />ENVIRONMENTAL. HEALTH DIVIS#ON <br />304 EAST WEBER AVENUE, THIP6 FLnL � � , <br />STOCKTON OA <br />(209} 468-34 ., <br />HUSLIC :: RE ORD RELE . PLICATION <br />� A 1r .�u <br />AI°PLiGANT Ma,.r i kko� 5 QUSINESSIAGLNCY C ev�oLDr � r y� o iia 5 .-tc. <br />ADDRESS f88_�rc..r�k <br />PHONE 2.041-2-64 - QS!a —FACSIMILE: <br />• n <br />TENTATIVE* APPOINTMENT DATE <br />(Please give 7 to 4'I business days from data d epP cation 'sub Iftal) <br />CHECK BOX TO EXPEDITE REQUEST - $87.001" Po l k IRY <br />SIGNATURE OF APPLICANT DATE <br />ENVIRONMENTAL HATH DIVISION FILES <br />i'. <br />NOERGROUND TALK (UST) CL,EMUP SITE (LOP) ❑ HOUSING ABATEMENT & ow WAST~ FAciury <br />fO'f i1ZR CLEANUP SITE (NON -LOP) 0 FOOD FACILITY 0 OLID WAM VEHICLE <br />:r� UNDEFtGROUIVIi TANK (iIADNITQRINCifiiEIV1OVAL) xiQG KENNEL AIRY <br />-HAZAR.UOUS WASTE GENERATOR CHICKEN RANCH 3 Q:, PKG, TREATMENT PLANT <br />0 TIERED PERMITTED FACILITY 0 NIOTELIHOTEL �# b ; PUMPER TRUCKMARDICHEM TOILETS <br />0 TATTOOIBODY PEIRCING 0 PQOIISPA Q LAND USE APPLICATION SITES, <br />0 MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM t 0 '' 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. Rix to 09 464-0138 or mail to the <br />address Indic # Ove. j <br />2. EHD will notify the applicant if any EHD files exist. An appointment foir review will be confirmed <br />approximately five business days but no later 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, _ 11 <br />3. A file that is actively bging worked on by EHD staff may not beJmmediately available for review. A new' <br />application may be submitted when the file Is available. � <br />4. ' Any file not returnoci in the same condition as released will be reorganized by EHD staff at the expense <br />of tho applicant Future file reviews by the same applicant may rstlul�e a $87.00 deposit prior to review. , <br />5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br />5. Applications received after 3:00 pm will be processed the next business day, <br />r. .. <br />CONFIRMED APPOINTMENT DATE - TIME <br />' <br />DATE Csv7NFlRMED PHONE PAX INITIALS <br />FILE ADDRESS !F THIS SIDE EHD STAFF UM ONLY <br />PRQORAM ELEMENTS SEARCH <br />5�oc l.i Al� 35 5r L ! o I" <br />I S S 0vt c� v� <br />: �► L �] r, i <br />lot to rz.. k <br />o.93 f4Tr o <br />+ Lj Ij <br />1 1 <br />I� <br />1 m I 'S <br />-1 S Ai Y <br />F <br />'i t �+ <br />5 (- 7- <br />tY i <br />MIA <br />3 l,p 15, A r <br />k W I� <br />ENVIRONMENTAL HATH DIVISION FILES <br />i'. <br />NOERGROUND TALK (UST) CL,EMUP SITE (LOP) ❑ HOUSING ABATEMENT & ow WAST~ FAciury <br />fO'f i1ZR CLEANUP SITE (NON -LOP) 0 FOOD FACILITY 0 OLID WAM VEHICLE <br />:r� UNDEFtGROUIVIi TANK (iIADNITQRINCifiiEIV1OVAL) xiQG KENNEL AIRY <br />-HAZAR.UOUS WASTE GENERATOR CHICKEN RANCH 3 Q:, PKG, TREATMENT PLANT <br />0 TIERED PERMITTED FACILITY 0 NIOTELIHOTEL �# b ; PUMPER TRUCKMARDICHEM TOILETS <br />0 TATTOOIBODY PEIRCING 0 PQOIISPA Q LAND USE APPLICATION SITES, <br />0 MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM t 0 '' 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. Rix to 09 464-0138 or mail to the <br />address Indic # Ove. j <br />2. EHD will notify the applicant if any EHD files exist. An appointment foir review will be confirmed <br />approximately five business days but no later 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, _ 11 <br />3. A file that is actively bging worked on by EHD staff may not beJmmediately available for review. A new' <br />application may be submitted when the file Is available. � <br />4. ' Any file not returnoci in the same condition as released will be reorganized by EHD staff at the expense <br />of tho applicant Future file reviews by the same applicant may rstlul�e a $87.00 deposit prior to review. , <br />5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br />5. Applications received after 3:00 pm will be processed the next business day, <br />r. .. <br />CONFIRMED APPOINTMENT DATE - TIME <br />' <br />DATE Csv7NFlRMED PHONE PAX INITIALS <br />