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v,`.`' 0111 uMWUEw -- 1 <br /> �CClU)N Cf]UIUTYPUSLIC HEALTH *ICES �r ` I <br /> ENVIRONMENTAL HEALTH DIVISION l� ��1 I <br /> 304 EAST WESER AVENUE,THIRD FLUOR / ; <br /> ..�J STOCKTON CA 95202 <br /> 209 468-3420 dJ <br /> 1';MjBUSINE5SrAGENCY <br /> ADott Ss l'4 2a j 6 ] <br /> � thHONE:( (��irT' / - l �e`7`._,� <br /> + <br /> TENTATIVE*APPOINnNENTDAM CtWV -Y��F--+ TIME OOO <br /> 1 (Pleas!give T to D�ainq►days bw WIt of appDUdon auDmflW l `" <br /> { <br /> Ago T6 E>PEOITE)IEQU 7-STS DD FEE .REGV SY r C55E0IN/3 BUSINESS DAYS <br /> T s C r e•�f DATE� (� <br /> „ TUREOF�AP841CANT <br /> s :L, <br /> FIt..E AUDRESs THIS SHICEROF5TAFF USE ONLY <br /> -35V PROGRAM at EMCNT3 SEARCH <br /> i <br /> HUHN <br /> 2000 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> }R�DERCROVND TANK(UST)CLEANUP SITE(I.OP) In HOUSING ABATEM4HY ❑ SOLID WASTE FACILITY <br /> _OTHER CLEANUP SITE(NON�I.OP) ❑ FOOD FACILITY ❑ $OLID WASTE VEHICLE <br /> e'UNDEROROVND TANK(M0NITORINQM9M0VAL) O DOC KENNEL 0 DAIRY <br /> O<►IAXARD0U6 WASTE GPJJEJt470R A CHICKEN RANCH ❑ PKG TREATMENT PLANT — <br /> ;i, ❑'TIHR1DFERMITTEDFAC1LITr Q MOTEVHOTEL d pUNPERTRUCK/YARDlCHEMTOILE73 <br /> '[C TATTOCIBODY PEIRCING ❑ POOIISPA ❑ LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FAC+LITY 17 PUBLIC WATER SYSTEM ❑ OTHFR(PLEASE SPECIFY ABOVE) <br /> ' <br /> 1. List up to tan addresses in the space above. Select the types)of tiles from the list above by checking <br /> the appropriate box(es). At least one file type MUST ba selected. Fax 12(709)464-0138 or mail to the <br /> address 111diea ed above. <br /> 2. EHD will notify the applicant if any EMD files exist. An appointment for review will be conflrmed <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 tot review. Appointments should be scheduled <br /> accordingly. <br /> 3. A the that is actively being worked on by EHD staff may not be immediately available for revlew. A new <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 19HD staff at the expense <br /> of the applicant. Future file reviews by the Same applicant may require A$78.00 deposit prior to review. <br /> S. ".TENTATIVE appointment date* must be Confirmed with END staff. <br /> G. 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 /> i2EVIEW110 YES NO REVIEW DATE <br /> DO <br />