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"SEP.25.200211112:46PPA6q0•ARCADIS GERAGHTY&MILLER/JSRRIWEWgL -- L_-FH NO.277 P. 1/1- 02 <br /> DATE"CMM <br /> SAN -JAQUIINNIENTAL <br /> COUNTYPUBUC HEALTH SERVICE <br /> 1 HEALTH DIVISION <br /> Idb - <br /> zoo <br /> ' WESER AVENUE,THI R M <br /> 0x STOCKTON CA 95202 IRV/ �L-J y <br /> 209 6 j <br /> ( )4 8420 <br /> � <br /> PUBLIC RECORDS RELEASE APPLICATION 2 2002 <br /> APPLICANT Ar- (/QSra f-f-� OUSINESS/AGENCY �1 cv F-MVIDIOUMFNT HFAITH <br /> APDRESs o o ru PERMIT/SERVICES <br /> PHONE �'7 2,33-32G;?p FACSIMILE <br /> 'TENTATIVE`.APPOINT iw-rDATE d Tt>wE <br /> (Please give,7 to b Ines(AA <br /> ■of Ilchuan submittal) <br /> 4CHECK SO TO ExpEOCrE REQUEST- - QUEST PRED 1 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN DATE Q y� <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> C) l I <br /> C)G) tl Lt L I <br /> L% Lt- <br /> L, <br /> O k u q <br /> t, <br /> 5 Lt <br /> o <br /> u) <br /> NVIRONMENTAL HEALTH DIVISION FILES <br /> FLUIN40ERGROUND <br /> DI=RGROUND TANK(UST)CLEANUP SITE(LOP) M HOU13ING ASATEMENT ❑ SOLID WASTE FAGIIITY <br /> HER CLEANUP SrM(NON-LOP) M FOOD FACIUTY ❑ SOU'0 WASTE VEHICLI` <br /> TANK(moNrrORINGIREMOVAL) ❑ D040 KENNEL. Q DAIRY <br /> C] HAZARDOUS WASTE GENERATOR 0 CHIC eN RANCH 0 PKG TREATMENT PLANT w <br /> ❑ TIEREP PERMI7TF,D FACILITY 0 MOT7=1_IHOTEL 0 PUMPER TRUCK/YARDICHEM TOILETS <br /> Q TATTOOMODY PEIRCTNG Q PMUfSPA M LAND USE APPLICATION SITES <br /> rl MEDICAL WASTE FACILITY d PUBLIC WATER SYSTEM CI 011e(PI-QA9E SPECIFY ABOVE) <br /> 1. List up to tan addresses in the space above. Select the typo(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0118 or rm-0 W to t <br /> addrR!ss indicated abovq, <br /> 2. EHD will notify the applicant if any EHD flies 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 fifes <br /> will be held for a maximum of five business days for review._ Appointments should be scheduled <br /> accordingly. <br /> 3. A fila 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 retumed In the same condition as released will be reorganized by FHD staff at the expense <br /> of the appllcanL Future file reviews by the same applicant may require a $89,00 deposit prior to review, <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff`. <br /> 6. Applications received after 3:00 pm will be processed the, next business day. <br /> CONFIRMED APPOINTMENT DATE, TIME <br /> DATE CONFIRMED PHONE FAX' INITIAL$ <br /> i <br /> REVIEWED YES NO REVIEW Df1TE <br />