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07-2002 10:50 FROM:CITY OF STKN HRD/RCC 2099372322 TO:4640138 P.002,003 <br /> 63/b 'L 1Ha iCG NQMSM <br /> SAN ..oAQUIN COUNTYPUBLIC HEALTH _-RVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)46"420 799 <br /> irp RECORDS RELEASE APPLICATION <br /> APPLWANT11au.e�v /BUUSINESSIAGTNav of G4 Sb F djil kr�. <br /> ADDRCSS, � N• E I Taj,,p d � SKS/ �- X 00 - <br /> PHONE 2o,?- / 37 j 0,-L _FAC¢IMII_r 267-957- fr?Z Z <br /> TENTATIVE"APPOINTMENT DATE Ag iv. Hac&L- W. 2Enz- TING rp,°o ,4•M <br /> (Pfoaa° Na to to b aln deyf m date of a PlIntlb bmleal) <br /> l ®7* 1� r <br /> El CHECK BOX TO EXPFDlTt REat1E8T•$o9.ao FE2- EQUE PR C BtiED 1 3 S 9 DAYS <br /> SIGNATURE OF APPLICANT 1�a�..�� 4+-T '' DATE <br /> FILE AUURESS THIS SIDE EHO STAFF USF ON <br /> PROGRAM ELEMENTS SEARCH <br /> N r +rwaL-F- <br /> Alp <br /> y Stew+ <br /> NO N. f'g5ow $ !4 f 1 <br /> Hp5 /J- lGe�elw Stwd <br /> wth Stiwe�` <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> V1 NOERGROUND TANK(UST)Cl.5MUP SITE(LOP) �yOUBING ABATEMENT LID WASTE FACILITY <br /> ®"jO1THER CLVANUP SITE(NON-LOP) [YF OD PACILITY OLID WASTE VEHICLE <br /> fk� AZARDOUS WASTE GENNDFRrRouND TANK ORTDORIRNCIREMOVAL) �CnN RANCH NNEL �0 TREATMENT PLANT <br /> Z M/UaOICALAWAST I!FAjEp4O PERMITTED CILITY f13'p ZLIC WATER BVATf=M RS PPP�ATION SITARDtCHEM ES T6 <br /> 1. List up to tan addresses In the space above. Select the typs(a) of files from the list above by chocking <br /> the appropriate box(es). At)mast one file typo MUST be soloctod. Fax to 1209)A64.O13A or mall to thq <br /> addreo i at hove <br /> 2. EHD will notify the applicant if any EHD files axlct. An appointment for review will be confirmed <br /> approximately five business days but no later than tan (10) days after r000IPt of applieatlon. The flies <br /> will be held for a maximum of five buelnes$days for review. Appointments should he scheduled <br /> accordingly. <br /> 3. A flle that Is actively being worked on by EHD Staff may not he Immodlatsly avallah lei for review. Anew <br /> application may be)aubmitted when the file Is available_ <br /> 4. Any Filo 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 $60.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> r,. Applications rerefved after 3:00 pm will he processed the next business day. <br /> I <br /> CONFIRMED APPOINTMENT DATE_ TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> i <br /> REVIEWED YES NO REVIEW DATE <br />