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/-07-20 2 10:50 FRON:CITY OF STKN HRD/RCC 2099378822 T0:4640138 P.002/023 <br /> ~SAAAQUIN COUNTYPUBLIC HEALTHIORVICES ztfal, rta <br /> '90. <br /> ` ENVIRONMENTAL HEALTH DIVISION (711 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (208)48$•3420 <br /> 021°1;;14 If. �PLIC RECORDS REL.EASS APPLICATION <br /> APPLICANT �"�rivi� �u�iTTG L9U81NE6SfADeNCY, � 5�19•Jwot I� I � <br /> ADDRESS -30, A) C 1 1)aredh SH"he. ZOO <br /> PHONE .2a4�-'937-9y0.- •I pACSIMII.E _137- PP <br /> TENTATIVE"APPOINTMENT DATm tj#6y• MSL#L8 2 r+1t-_. TIME <br /> (Please Iva to 10 b ala days m date of m 11 if brnleml) <br /> � !t t� <br /> CHECK BOX TOFXPEDIT REQ`U6aT"$89.06 PER REQUEI-P C�6t3EP1 3f11S DAYS L A g � <br /> SIGNATURE OF APPLICANT '\w / "' " DATE <br /> FILE A DRE88 THIS 91 E EHD STAFF USE ONLY <br /> PROG__ t;LEMENTa SEARCH <br /> S w Star..- <br /> y <br /> a Al. fj;sow. 5 rwt <br /> 05 L:nrelw Sfr4ai" Alf <br /> 01 N. ra^ <br /> 17 <br /> ✓ ...f.F Sf raa. <br /> ENVIRONMENTAL HEALTH DIVISION FILE$ <br /> l4�yNDHRGROUND TANK(UST)CLEANUP SITE(LOP) OWING ABATEMENT �UD WASTE FACILITY <br /> OTHER CL8ANUP SITE(NON-LOP) V. PACILITY "DUD WASTE VEHICLE <br /> 0)ry NOERGROUND TANK(MONITORINOIREMOVAL) O'DO.OKENNRL [a/�}A(,tpRy <br /> DYy AZARDOUS WASTE GENERATOR �rcHICKHH RANCH rp/ FRATMEN PLANTHEM TOI�ET9 <br /> "ERED PERMITTED PACILrrY 3;. TRUHQTEL <br /> OOIBOOY PEIRCINO t UOPA � D USE APPLICATION SrrES <br /> M,V6DICAL WASTE FACILITY ffr RUtS41C WATER SYATFM GKOTHFR(PLAASE SPECIFY ABOVe) <br /> 1. List Up to tan addresses In the space above. Select the types) Of fllos from the list above by chocking <br /> the appropriate box(es). At least one filo type MUST be selected. FaX 2 464,0138 or Mailto t <br /> he <br /> addroan Indl2atodboss <br /> 2• EHD will notify the applicant if any EHDfilea oxiat, An appointment fqr revioW will be confirmed <br /> approxlmataly five business days but no later than tan (10) days after recolpt of application. The flies <br /> will be held for a maximum Of five buelnesa days for review. Appolntmants should)ae scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immedlately availahto for review. A now <br /> application may ba'submitted when the 1`1I0 Is available. <br /> 4. Any flle not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file revlewp by the some apPllcant may require a $89.00 deposit prior to review, <br /> 5. 'TENTATIVE appointment dates must be confrmed with EHD staff. <br /> G. Applleetions recelved after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIHMEO _ PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> Tirwo <br />