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O <br /> 09/20/2002 17:11 707-(r—" 2900 VERTEX ENG I f��2��117� X81 1/0i <br /> ,09/20/2002 16:58 4648 8 ETNIR0*ENTA&.-.;L C ��to�ouWu t <br /> onTaRroo 002 <br /> SAN .IOA4UfN CpUN7YPUl31.IG HA1.7W SER'JLL <br /> 992 3 <br /> ENVIRONMENTAL f9EALTW b1V1S10N <br /> 304 F.ABT WEBER AVENUE,TH1Rd FI.Of�FNVIR(SIIIMEP AL O <br /> 'STOCKTON CA 05202 PERMIT/SERVICES <br /> (209)"8-3420 , <br /> LIC RECORDS RELEASE APPLICATIO T tieft <br /> SUStI42SWAGt=NCY l/s.t^t e'1C n �� <br /> APPLICANT /Sa+ S --♦♦ /� �i <br /> ADDRESS �� �' W/'h�t�1�Gt, ��t� •$�rJ/�G'�JQ P.I.�.. Ga 9� <br /> PHONE "'-��s� 2- CD FACSIMILE 47 Poo <br /> TENTATIVE'.APPORTlTMHNT PATE eppl�, Rs,emittall <br /> (Please 7�+��o ME <br /> ny�g • ' .. • <br /> CNICK 8070 TO fa�tPE:I?i'1'E RKUE •$Si-00 FW-8EQUETutE 3 SU NESE DAYS O <br /> SIGNATURE~or APPLICANT pATE <br /> BILE ADDRESS THIS SIR'~EHD STAFF US!~ONLY <br /> PROOF ELEMFWM SEAR01 <br /> £dmf' �t,'Y.� L(S�w•*� Y� • <br /> 3a <br /> ENVIRONMENTAL HEALTH 17MSiON FILES <br /> CLEANUP SITE(LOP) o HOUSWO A$ATEMEtiT <br /> `Jp�tAEAGRDUMn TATft((usT) d FOOD FACILITY SOLrf)WASTe Vf:kItCL� <br /> T;R CLEIwtIP slit;(NON�4P) ❑ Doe KFNN9L ❑ I#,41EtY <br /> SU17AZ <br /> £RGROUND TANK(MONf70RD��MOVA1-) E3 CHICKEN RANCH FItQ TI��'1'MENT P!_Atr'I ARAOtIS%vAM GENERATOR ❑ bApTEl.MO TEL =PER TRUCWyARDXHEM TOILrM <br /> 7 LAND APPLICATIOM 4"S <br /> O TIERED PERMIM)PACILITY p poOUSPA OTHER(PLEMF SPECYA$OV <br /> Ey <br /> 13 ATOOMODY P61RCENG Q puELIC WATER SY3M <br /> O MEDICAL WASTE PACd-ny ` <br /> {, Llst up to ten addresses In the space abeva. Select the types)of files from the list above by checking <br /> I tel o <br /> the appropriate box(ac)• At least one fila type MUST be Selected. Fax to 208 464-0138 or <br /> add ess ind'c ted abaVeIrmed for review <br /> 2. EHD will notify the apPlica"r+P arty <br /> PRO flat Exist, to Appointment <br /> pi)days after receipt of alpplicatlon Themes <br /> Appro;rjrnately rve business dayet but no Safer thafo ten <br /> Appointments should by soheduled <br /> will be held for a maximum of five bUSinesa days <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be*1m MM <br /> available for review. new <br /> application may be submitted when the file is available. <br /> 4, Any file not returned In the some condition as released will be rearg2�a�$9 OF QpoS�poor to review. <br /> expense' <br /> of the applicant. Future file reviews by than same Applicant may rets <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> .6. Applications received after 3.00 pm will he processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. <br /> TIME <br /> PHONE FAX INITIALS <br /> DATE CONFIRMED <br /> REVIEM13 YES NO REVIEW DATE _ - <br /> a pl.Mr <br />