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�.'-1T'.' v,'1�-t ii uti,l;UU(V i i l~ut�i..l�, 1-i c�a�t,. �.L-1•, rlti ti <br /> ENVIRONMENTAL HEALTH DIVIVN <br /> 304 EAST WEBER AVENUE, THIRD FLG7R <br /> JUN 1 9 2001 STOCKTON CA 95242 <br /> (209)468-3420 <br /> EPdViF"(7;IIL r T ss aI ti PUS i lC RECORDS RELEASE APPUCAMN / <br /> PL= PPLICEiivi!�S1 I' �I f2�?� �LCiI //rl3/1�P 61 i rr <br /> APPLICANT �-ySU.t� L�'P BUSiNE53IAGENCY <br /> ADDRess -1�LIL[J �1ICf <br /> PHONE AVT -((jf ! �1645Id FACSIMILE <br /> TENTATIVE'Appui"ENT DATE TIME <br /> (Please pine 7 to t(lbtuiness das tram date of appikation submilml) <br /> Q CHECK SOX TO EXPEDITE REQUES(T--378.00 F REQUEST PROCESSED IN a BUSINE55 DAYS <br /> SIGNATURE OF APPLICANT \ 6LA q R DATE _ LU Z{J0. <br /> FILE ADDRESS <br /> —seUdc� O/ O <br /> 6 LL <br /> 20 '290L <br /> s2 3S <br /> 1ENVIRONMENTAL HEALTH DIVISION FILES <br /> , UNDERGROUND TANK(UST)CLEANUP SITE ILOP) ❑ HOUSING ABATEMENT CISOLID WASTE FACILITY <br /> , OTHEk CLEANUP SITE(NON-LOP) ❑ FOOD FACIL17Y C1SOLID WASTE VEHICLE <br /> 3 <br /> UNDERGROUND TANK(MONITORINGlREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ' ❑ CHICKEN RANCH ❑ PKG T HFATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY Cl YOTELIHCTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ POGUSPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(z)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138 or mail to the <br /> addressindicated above. <br /> 1 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 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 EHD 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 /> 5. 'TENTATIVE appointment dates must be confirmed with ENO staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRM6 APPOINTMI=NT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> —EA VJilE3E - - - <br />