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rrtLA'1 : NOR Environmental PHONE NO. : 209 369 4228 Dec. 03 2002 02:54PM P2 <br /> uAt6 HECENE6 _ <br /> nI J-�:� �,II��✓ N' AQUIN COUNTYPUBLIC HEALTH IRVICES eHgSecHmnaEn <br /> ENVIRONMENTAL HEALTH DIVISION 1065 <br /> DEC 0 3 2002 v 304 EAST WEBER AVENUE,THIRD FLOOR ' <br /> STOCKTON CA 95202 <br /> JNRCINIVIENI 11FALTH (209)468.3420 <br /> PFF-i,M[T/SFR7V�ICn. ELIC RECORDS RELEASE APPLICATION <br /> APPLICANT_1``LL F-•r1CC-O -r BUSINESSIAGENCY 46A- ENVIe0n+1MENTAt_. <br /> ADDRESS 7.Z 4I VDU4474 <br /> 1 T(�N Lht,16 LO1>I <br /> PHONE l W) -41+1--44.7 Q FACSIMILE (y \�1 34,,pw 1 `4Z'2-8 <br /> TENTATIVE"APPOINTMENT DATE 2- 7- TIME 10 L AVN. <br /> (Please give 7 to 10 business days from date of application submittal )'f1 a dac fs <br /> ��nN1 <br /> CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE-REQUEST PROCESSED IN J 4140 ckY <br /> SIGNATURE OF APPLICANT ... a DATE fZ-3^OZ <br /> FILE AODRESS CW L_04i J i c(y�0 THIS SIDE EHD STAFF USE ONLY <br /> 04 PROGRAM ELEMENTS SEARCH <br /> 1ttq fJ•Gvi Avc. I4�s^s N. C„fld , h <br /> 1 CN1CtA W I' <br /> ✓✓ (220 i�4or <br /> V/q <br /> V� D i Rdt.• � �,a; <br /> g iC <br /> DO Wehe <br /> OZ N. CIJW PVf- <br /> ✓ Sr( E. C4• <br /> 133 E. ')V✓rLcv R.d. I e .' -�.-7 'r <br /> ENVIRONMENTAL HEALTH DIVISION FILES VIW <br /> 9 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ ROUSING ABATEMENT O SOLID WASTE FACILITY <br /> i$ OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> 92 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL 0 DAIRY <br /> m HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> �O TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> 0 TATTOOIBODY PEIRCING 0 POOL/SPA 0 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY E3PUBLIC WATER SYSTEM 1f4 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to!2091464.0138 or mail to the <br /> address indicated above. <br /> 2. 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 $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 INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />