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\ 1W13ENTX: LUSTRE -CAL NAMEPLATE; 209 334 6394; NOV-12-03 5:25PM; PAGE III <br />AZT, - <br />12 03, 14 20946/13 FIFTH FLOOR J PAGE 01 <br />f�IS �� l� 11_ i\�' � no <br />SANCOUNTY / <br />NOV 1 2 2003, ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />304 BAST WISBER AVENUZ: TMRO FLOOR <br />ENVIRONMENT HEALTH STOCKTON CA 95202 1 <br />PERMIT/SERVICES. (209) 40-3420 . <br />PUBLICRECORDSRELEASE/APPLICATION <br />APPLICANT /' T r/ BUSMEeWAZMCY 4US%�✓r - s A/91M � ..yq <br />"MEyr!L2 Gid. S FACSIXU <br />TENTATIi/E*APPO1NTyeNr DATE lV TIME <br />(PNeee ales 7 m 10 6 slow ey. aero dMis of ePP(,,Egl &rymn J'1 <br />CHrCKBOXTOExPEWI!R[QUEBT.$n REQUE8Y 1NE11UiiNEEEDAYSUA <br />Al <br />SIGNATURE OF APPLICANT DATE <br />ENVIRONMENTAL HEALTH DMSION FILES <br />0 . UNDERGROUND TANK "M CLEANUP SITE (LOP) 0 HOUSING ABATEMENT C SOLID WASTE FACILITY <br />0 OTHER CLEANUP STYE (NON-LOPI 0 FOOD FACILITY 0 SOLID WASTC VEHICLE <br />C3 UNDERGROUND TANK (MONITORINCV EMOVALI O DOO KENNEL I7 DAIRY <br />HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKO TREATMENT PLANT <br />TIERED W_RMTTTED PA=TY 0 MOTEL/HOTEL 0 PUMPER TRUCK/YARUICHEM 70FLM <br />C2 TATTOOISODY PEIRCINp ❑ POOI PA 0 LAND USE APPLICATION EMS <br />0 MEDICAL wAwm rACLn Y ❑ MIR (PLEASE SPECIFY) <br />1. Llet up to ten addresses In the space above. 82lect the type(s) of files from the list above by checking <br />the approprinta box(es). At least one file type MUST be selected. FM to (2091484-0138 Dr mall to the <br />addro4s Indiouted above <br />2. BHD will Toby the applicant if any EHO files exist An appointment for review will be confirmed <br />approximately Rve business days but no later than ten (10) days atter reealpt of appilostlon, The filar <br />will be held for a maximum of tive business days for review. Appointments should be scheduled <br />accordingly.�. . <br />3. A flle that Is ae0vey being worked on by 8HO staff may not be Immedistely avallable for review. A new <br />application may be submitted when the Ala Is avuUmbte. <br />4. Any rile not returned In the same condition so released will be reorganized by EHD staff at the expense <br />Of the applicant. Future file reviews by the sums applicant may require a $89.00 deposit prior to review. <br />a. 'TENTATIVE appointment dabs must be confirmed with FJ1O stiff. <br />0. Applications received after 9:00 pm will be processed the next business day, <br />ATl411N il11EN"ATE- <br />.... PaiidWE . <br />V TA <br />