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0911112002 16:07 209-579--2225 <br /> MC]DESTO ATC PAGE 01 <br /> 9 <br /> l� <br /> ............�`� }l'i� 1111 COUNTYFUBLIC HEALTH SERVICES I������ ��l ���) <br /> HE 1 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> SEP 1 2 2002 STOCKrON CA 95202 SEP 12 2002 <br /> (209)468-3+420 <br /> ENT HEALTH PUBLIC RECORDS RELEASE APPLICATION ENVIRONMENT HEALTH <br /> PERMI <br /> APPLICANT 6USINESSIAGENCY . <br /> E <br /> PHONE FACSIMILt { - <br /> TENTATIVE-APPOINTMENT DATC I � - TIME <br /> (Ptoatty Viva 7 to 90 business da IreC of ap Dation aUbntfttaij <br /> CHECK BOX TQ,"PEDITE REQUCST. 7.0 -QUES PROC SED I 3 BU51HUS CLAYS <br /> SIGNATURE OF APPLICANT DATE r77 h <br /> FILL;ADDRESS THtS SIDE ENL?STAFF USE QNLY <br /> PROGRAM ELEMENTS SI=AFCGH <br /> 01 10 f- <br /> r <br /> AA_ C-1wel <br /> l�5LL o <br /> ` ENVIRONMENTAL HEALTH DIVISION PILE=S <br /> )-UNDCRGROVND TANK(UST)CLEANUP SITE.(LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> X OTHER CLEANUP SITE(NON,LOP) 13 FOOD FACILITY ® SOLID WASTE VEHICLE <br /> Ca UNDERGROUND TANK(MQNITORINGIREMOVAL) 0 DOG KENNEL 0' DAIRY <br /> ❑ HAZARDOUS WASTE GENCRATOR 0 CHICKEN RANCH 0 PKC TREATMENT PLANT <br /> CI TIERED PERMtTT_D•FACILITY ❑ MOTaLIHbint L 0 PUMPER TRUCV4YARDICHEM;rOILETS <br /> Ca TATTOO15ODY P 1ACING ® POOLISPA D LANA)USE APPLICATION SITES <br /> 0 MEDICAL WASTd FACILITY 0 PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. fist up to tan addresses in the space above. Select the type(s) of files from the list above by chocking <br /> the appropriate box(as), At least one file type MUST be selected, Fax to (209)464-0138 or mail to tho <br /> address indicated above. <br /> 2. EHO will notify the applicant if any EHD files exist. An appointment for review Will be confirmed <br /> approximately five business clays 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. <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 file is available. <br /> 4. Any file not returned in the same condition as released Will be reorganized by EHO staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$07.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates mast be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the neat business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> SATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWE�3 YESo NQ REVIEW DATE <br />