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AAu OOA 12 :37PM NOA FNVIRO 209 .369.4228 No- 6238 P . 2 <br /> - eve 40G NEP . <br /> -�" C��hII `�✓� �AN JOA IN COUNTYPU9LIC HEALTH SERVIC. <br /> ENVIRONMENTAL HEALTH DIVISION <br /> AUG 2 S 2004 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOMTON CA 85202 Iq <br /> ENVIROfVIV,cPJ HEALTH (209)46E3420 <br /> PERMITUSEBVILFS PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Cl,' C'\ye SUSINESS(AGENCY Neil C <br /> ADDRESS 902. Sr\d43•}rc.\ W-aY L.oA \ c CT5zL/0 <br /> PHONE z-a`t -3G,7- 761 FACSIMa.E ZO 9 - 3 6 `) ZZ 8 <br /> TENTATIVE'APPOINTMENT OATS TWE �' <br /> (Ploose give 7 to 10 businoes days from date of application wbrtittil) ((�� <br /> In CHECK BOX TO EXPEDITE REQUEST-$89.00 F qYIEST $10 IN 3 BUSINESS DAYS UP <br /> SIGNATURE OF APPLICANT /�1\ DATE a <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> 1\ L z f aIg 9 S 3 3o PROGRAM ELEMENT"SEARCH <br /> u bV NrkwzUn a ,k o <br /> z it /i <br /> i, Menro o i3} 4 <br /> � 1 Q O " p w <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> DERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT SOUD WASTE FAMITY <br /> �PTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> �t7 AffIDED ROROUND TANK(MONtTORINOIREMOVAL) DW KENNEL ❑ DAIRY <br /> J2'ZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PK0 TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY Y ❑ MOTEUHOTEL Cl PUMPER TRUCK/YARDICHEM TOILETS <br /> 0 TATTODnlODY PEIRCING 0 POOLISPA 0 LAND USE APPLICATION SRW <br /> O MIDICAL WASTE FACILITY L7 PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFYABOVE) <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above by checking <br /> the appropriate box(as). At least one file typo MUST be solacted. Fax to(2091484-0138 or mall to the <br /> address indicated above, <br /> 2. END will notify the applicant N any EHD files exIaL An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt or application. The no <br /> will be held for a maximum of fire business days for review. AppointmentS should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHO staff may not be immediately available for review. A new <br /> application may be submitted when the filo 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 some applicant may require a$88.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment Was must be confirmed with EHO staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />