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yuk i?0'SJ1�d 1d10i ask ^�..���� eivvi+tuivr��ivktaz. n <br /> SIN COUNTYPUBL'iC HEALT B <br /> 6_1E�C�j `; �I iRONMENTAL HFALTH DIVIMnT <br /> 3 4 EAST WEBER AVENUE,THIRD FLOOR <br /> SEP 2 2m STOCKTON CA 9$202 SEPI 2 <br /> qq (209)468-3420 2002 <br /> ylu@fflfg�X ORDS RELEASE APF <br /> 1 -f PERMfT/SERVICES <br /> APPUCAN7 P t is� BU5INESSIAGENCY <br /> ADDRESS hM T k W 1 A r' �. Tl' � <br /> PHONE 6 1d V+� FAcalmILE 61�J ~ 3 - - <br /> TENTATIVE*APPOINTMENT DATA= a 11ME �� ± <br /> (Please tiles 7tolls7 s%s orn a of a p cation suhmlttal) <br /> Q CHECK 90X TO EXPEOrM RE .;89.St}F REQUES C!C S11 BUSsINESS DAYS <br /> -SIGNATURE OF APPLICANT [lAti= qZ// G2 <br /> FILE ADDRESS TH we EM)sTAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> v A Imo/ <br /> S a i c, <br /> w. c <br /> L <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK{U5T]CLEANUP SITS ILOPI O Ea SOLID WASTE FACILITY HOUSING ABATEMENT 0 SOLID WASTE VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY <br /> J UNDERGROUND TANX(MoNITORINGIREMOVAL) 0 06Gt KENNEL. G DAIRY <br /> V CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATs7R p MOTELIHOTEL • O PUMPER TRUCKNARDICHEM TOILETS <br /> TIERED PERMITTED FACILITY 0 POOL/SPA CI LAND USE APPLICATION SMES <br /> 0 TATrOOMODY PEIRCINGS Q PUBLIC WATER SYSTEM M OTHER(PLME SPECIFYABOVE) <br /> Q mEDtCAL WASTE FACILITY <br /> 1• List up to ten addresses in tri® space above. Salect the types) of files from the list above by checking <br /> the appropriate box(es). At least one file typQ MUST be selected. Fax to 209 464-013E or mail to the <br /> address indicated above. <br /> 2. t"ND will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10) days after recelpt of application• The files <br /> will be held for a maximum of five business days for review, Appolntments should be scheduled <br /> accordingly. <br /> 3. A file that is actively tieing worked an by END staff may not ba immediately available for re,riew. A new <br /> application may be submitted when the file is available. <br /> 4• Any file not returned in the same condition as rspleasa}d will be reorganized by l`HD Staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$139,00 deposit Prior to review. <br /> g. *TENTATIVE appsxintmant dates must be confirmed with EHD staff. <br /> g, Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME, <br /> DATE CONI=IRMI+D <br /> PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> dd 9E:T T FOO TT d3S <br /> ___ EOIEO'd $2T0V9vG0ZT 01 <br />