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07-2002 10:50 FROM:CITY OF STKN HRDIRCC 2099378822 TO:4640138 P.002'003 <br /> h3/s//tens txaIosNUMBER <br /> YSAN, -/AQUIN COUNTYPUBLIC HEALTH — RVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> I 304 EAST WEBER AVENUE,THIRD FLOOR 799 <br /> ST60KTON CA 96202 <br /> (208)48$3420 <br /> 02 (;;; -7 LIC RECORDS RELEASE APPLICATION <br /> APPLICANT �u�i� SUStNESS/AOENCY.!j'4,Of 5/y9&t&& <br /> ADDRESS,,�e5 AjEI baroai - <br /> PHONE .�09—'937-9Ho�- FACSIMILE Zo -137- PPzZ . <br /> TENTATIVE'APPOINTMENT DA'rL W �' (✓ « �°pg" TIME ro%CO 'A. %4 , <br /> (Please Ive to10D sin daysNate ofA pllcat(o bmlael) <br /> CHECK SOX TO EXPEDIT REOUE8T•$09.00 FE0- ---- P Seri3 S DAYS 8 �'^ <br /> SIGNATURE OF APPLICANT DATE <br /> FIL A DREse - - THIS SIDE FSHD STAFF Use ON <br /> PROGRAM ELEMENTS SEARCH <br /> y 5tl�w.-f- <br /> A065 A). ; w 5 reLf <br /> a i AJ, tr <br /> 17 <br /> N,t Strom" <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> tit/y NOERGROUNO TANK(UST)CLEANUP SITC(LOP) ��DU91NG ABATEMENT LID WASTE FACILITY <br /> POOTHER CLEANUP 617E(NON-LOP) C FF 00 FACILITY - f�_9+'"�OLID WASTE VEHICLE <br /> V>0FRr.RouND TANK <br /> MY <br /> : 71 ��KQ TREATMENT PLANT <br /> EREC�PERMIJTTQD PACHN-frY OOR OIRFSMOVAL) Or,JyyypVVVpHOOOICK6HgTELRANCH <br /> KENNIL L�YIV ER TRUCK/YARDt0HEM TOI}Frr& <br /> OO/SOOY PEIRCINO USPA L�JdcND USE APPLICATION SITES <br /> RoICAL WASTE FACILITY PUbtic WATER SYSTCM �'oTHER(PLQASE SPECIFY ASOVIII <br /> 1. List up to ten addresses In the specs above. Select the type(e) of files from the list above by checking <br /> the appropriate box(es). At least one 1`116 type MUST be selected. Pito 121208)464.0138 or me))to the <br /> addrelIn Indjqateglbove <br /> 2. EHO will notify the applicant If any EHD files ayist. An appolntment for review wl)I be confirmed <br /> approximately five business days but no later than ten (10)days after recalpt of application. The flies <br /> will be held for a maximum of five business days for tOVIOW. AppolntmontA Should be scheduled <br /> accordingly. <br /> 31 A file that Is actively being worked an by EHD Staff may not be IMMOdlatsly avaltabla for review. A new <br /> application may hWoubmitted whan the flip 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 filo reviews by the some applicant may require A $89.00 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with END staff. <br /> U. Applications received after 3:00 pm will be procossed the next business day. <br /> CONFIRMEC) APPOINTMENT DATE TIME <br /> DATE CONFIRMED _ PHONE FAX INITIAL$ <br /> REVIEWED YLS NO REVIEW DATE <br /> n <br />