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03"G"17 <br /> DATMaY •27 . 2003 4:21 PM CONK[ EARTH TECHNOLOGIES UNTY <br /> 1;'1 <br /> •�� C�11L�l U/ki1J�' ER . ,RQNMENTAL HEALTH DEPARTNI�. T <br /> 304 EAST WEBER AVENUE, HIRD FLOOR <br /> MAY 2 7 2003 STOCKTON CA 95202 <br /> (200468.3420 <br /> aNUl1iONMENT i1EALTFlPUBLIC RECORDS RELEASE APPL1C:ATIC) <br /> l •GyR(M+ �� � � 1 <br /> APPLICANT C= DU51NES5IAGENCY <br /> PHONE! rLO�� � ( 4� PACSiMILI: c9'-3 q — 0�i� .. <br /> TENTATIVE*APPOINTMENT DATE r -. L0d S TIME —111.00_mvyT _�1301 <br /> (Please give 7 to 10 business days from data of application sutra Mal) <br /> CHECK DOX TO EXPEDITE REQUEST-$89.00 ME REQUE:i T PROCESSED IN 3 BUSINESS DIM <br /> SIGNATURE OF APPLICANT _ Y_ I:1i%Tl= , <br /> THIS.IDIS EHII STAFF ME ONLY <br /> FILE ADDRESSSPROORIiM EI+EMCNTS SEARCH <br /> 111)0 <br /> I r <br /> � 9 <br /> }+ -M <br /> naM <br /> B50 W. Welber 4w-- <br /> �46� )y sxv,% 21n a� <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13HOUSIMG.ABATEM INT 'iOI.JD VVM"E PACILITY <br /> OTHER CLEANUP SITE(NON-LOP) a FOOD FACILITY ';OLID VY'AM VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG)ONNEL LI DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CIRCKEN RANCH tiIE. <br /> ❑ PKG TATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTELfMOTEL d PUMPER TRUCWYMWICIMM T0I1-E73 <br /> ❑ TATTOOIBODY PEIRCING 0 POOUSPA G LAND UI'E APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) __- <br /> 1. List up to ten addresses in the space above. Select the type(s) of filen from the list above by checking <br /> the appropriate box(es). At least one file typit MUST be selected. Fax to 201464-0138 or mail to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EHD files Irxist An appointment far review will be confirmed <br /> approximately five business days but no later than tan(10) days after re,;:eipt of application. The files <br /> will be held for a maximum of five business days for rsview, Appointments ahould bit scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHP staff may not be immediately .Available for roview. A now <br /> application may be submitted when the file N,available! <br /> 4. Any file not returned in the same condition a:; released will be reorganiza:d by EMD staff at the expense <br /> of the applicant. Future file reviews by the s ime applicant may require.I $£11x.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be corn-firmed with EHD staff. <br /> 6. Applications received after 3:00 pm will'be processed the next business day• <br /> CONFIRMED AppoiNTMEW©ATE TIME <br /> ._ <br /> DATE CONFIRMED PHONE FAX jNjTIAL-S <br /> REVIEWED YES NO REVIEW DATE_ <br /> EHD 4"240 <br /> 7f14►M <br />