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•uY :.."i _ - ice, , .. .�, .J.. -... <br /> tip <br /> ;;AN J*tUIN 'COUNTYPUEsL7C HEALTH ScRVICE:. <br /> � <br /> �TI.NVIROMMENTAL HEA[..TM DIVISIO[J <br /> -104 PAST WEI3ERAVENUE.TH[RD FLOOR _ <br /> STOCKTON CA 9020:! <br /> --- —_ <br /> PUBLIC ftECQRIDS RELEASE APPLiCATION <br /> APPLICANT . d H1JSINESS4AGEN0Y17Z,gzy <br /> PHONE (/'„s7 GG ---- -_._,� <br /> FACSlM1Lr- / jyl <br /> TENTATIVE'APPOetTMENTDATE l7r! <br /> Y RO <br /> _fi'nW <br /> PImSe r Tft: <br /> �'`7��{/ ( insi tC l(lbwincSS U.l (romcatappllc:Ilipl plalllull?I) <br /> ”' CHECK¢iOXT0•EXPEDITEREQUc;ST aFENROCe 55 t® �uI <br /> US{NESS DAY:: <br /> s[GNATF CSE OF AF PI_ICAN- <br /> 0A'J <br /> TNIS SIUL 8RD aTAFF USE hNLY <br /> -' - PAr'Golh)a L'LENIENTS SHAFCH <br /> --L.n' •CSL . /� �—. —jj� _ _' <br /> •e� 1. � l —,. <br /> ENVIRONMENTAL HEALTH DJV1s1QN FILP3 <br /> U 4Z;EF% AOUI•Ip 7ANK(UST)C(,rgp;Up 5t7 (t•OpJ ❑ xGUStNG ADgTEMEry7 r-,, <br /> HGfi'CCEF,NUP SITE!NON-LOP) . {,. 50LID YVASTI:VACZATY <br /> DF-RGI;OUNC i.1N[({iyDNl'rOI;tN GIALMOVAL) O DOG KENkia FACILITY O Soho WEE VE%cLG <br /> NA:Af7OgUS WASTE GENCPATOR V CHICY,EN C] OAptY <br /> TIERED PGnMr17�U rACILITY Q OtU fEUHO CH t] PRO TREATMENT PLAIT <br /> a TATTDOIE ASYE!FACILITY <br /> v POOU + O PUi1Pr;g TRUCWI-ARMCKEM TOILETS <br /> mCDfCALIWASYE FACI"CITY S1A ••- LAND USE APPLICATION SITES <br /> q PUOUC WATER SYF.TEm O OYHCR tPLIE ZE UPCCIFY AUDYL'-) <br /> '• List up to trn aadresst:s In the space above. Select the type(s) of tilos From the hs[above by chDckincJ <br /> tfJe apyfrop;fate hoX(Qs), Iliast Dna rile type MUST be selected. Fa tr ZUtJ 4P arm. ; t tri <br /> atltlrIEs indicated dbovr.- <br /> '• ZHDWnt•hoV thea <br /> fY ppfieant if any EFJD files exist. An appDfntmoht for reviow wil I be Cunflemod <br /> 411approximatelybeelef for <br /> a, businuss days b.d no Iatar than ten(1p)days aftcrroecip!of appflcu¢an. The n7es <br /> V411 be yftlU fUr«marimum or five business rlays ror ravivly, AppQinhnvcc! ShDUIp ?1 s1iun.- he <br /> accordingly'. cd <br /> A file that Is actively being worked an by EHD staff may not be imntediatP,ly avallabte for rvriew, Anew <br /> application may be sutImitt"When the fiis le available. <br /> A•"Y tilt not,ciurncd in trio Same Go <br /> be rLur <br /> of the &ppATIVEgnt. Future file review;;by the Same tjOn as lap'p(icanttmay require a$87.00 <br /> t;7 pk op sttlat(h to expenTUVICse 5 'T IcNTgTJVE anpoifttment Cates must be : pq�c <br /> L. AQPJicationS rmCRive vnfinTled with EHD chaff, <br /> a after 3:ap prn will be proeasod the next business day. <br /> CONFIRMED APA01NTME:NT DA-i E <br /> -- _� <br /> DATE CONT{Rh1ED TIMI: ��•-- <br /> •-•�—_.._._ PHONE J-AY INITIALS .� I <br /> VleWED� •y y..c � ^+ <br /> REYIEm DATE. <br />