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Y <br /> MODESTO ATC _PAGE 01 <br /> \ 09/11/2002 16:07 209-579-0-96 <br /> V ll W l 11y41� <br /> G3C�� �" S 1lIIN COUNTYPUBLIC HEALTH SERVICES of S <br /> C�� ENVIRONMENTAL HEALTH DIVISION - <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> SEP 12 2002 STOCKTON CA 95202 SEP 12 2002 <br /> (2019)466-3420 <br /> ENT HEALTH PUBLIC RECORDS RELEASE APPLICATION ENVIRONMENT HEALTH <br /> PERMI <br /> APPLICANT -AIL <br /> BUSINESSIAGENpCY Z <br /> ADDRESS q5-3 <br /> PHONE ' s — FACSIMILE (�O�{S <br /> TENTATIVE'APPOINTMENTDATE" �i��o� TIME 1-to <br /> (Please givo 7 10 10 bbuussipcss tln trot c of ap Icalion:uumkwj (/ <br /> © CHECK BOX TO,EXPEDITE REQ UCST• 7.O C QU ROCI%, D I 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1/11/01" <br /> 1 <br /> FILE ADDRESS THIS SIDE EHO STAFF U5E ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> VW kula�ier 2SG }. <br /> 5 c , <br /> 64 4 <br /> n <br /> 4 <br /> 13 & o <br /> L�� Q Q _ <br /> Ous <br /> .1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> O-VNDERGROVND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING A13ATEMENT 0 SOLID WASTE FACILITY <br /> X OTHER CLEANUP SITE(NON-LOP) ' 17 FOOD FACILITY D SOLID WASTE VEHICLE <br /> 0 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL O DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR O CHICKEN RANCH O PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTCC-,,D FACILITY ❑ MOTEUHbTEL ❑ PUMPER TRUCKIYARDICHEMTOILETS <br /> ❑ TATTO01aODY PdIACING ❑ POOLISPA "' O LAND USE APPLICATION SITES <br /> 0 MEDICAL WAST11 FACILITY 0 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ADOVE) <br /> 1. List up to ten addresses in the space above. Select the types) of files from the list above by checking <br /> Ilia appropriate box(es). At least one file type MUST be selected. Fax to to (209)464-0136 Cyr mail to the <br /> ar mail to the <br /> address indicated above. <br /> 2. EHD 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 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 now <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 EHD 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 must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT [)ATI; TIME <br /> DATE CONFIRMED, PHONE FAX INITIALS <br /> REVIEWEDYES NO REVIEW YES NO REVIEW DATE <br />