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N 1 V E Dj <br /> cavv <br /> Ort=REGY.�Yq <br /> DE U-I J 5 1999 <br /> xIq <br /> L "M° `54IJAQvlN CourrpuBL(C HEALTH SERV ICENVIRGNiVIr,'iu ;�L #'iLALTH• ENVIRONMENTAL HEALTH nIVIStONES <br /> PERMIT / SERVICES la4 EAST WEBER AVr:N r—THIRD FLOOR � <br /> STOCKTON CA 95202 <br /> PUBLIC RECORDS RELEASE APP <br /> F3Il5WErVAGEHCy <br /> ADDRESS r3e, $, r, j} Q Ja <br /> FIHON 201) <br /> FACSIMILE <br /> TENTATfVE•APPQINTMENTDATE r ��. <br /> ! � <br /> (p�aa BI�a 7 to 10 iTVAE OPPlIcx4ion�utwnittalf <br /> CttgCt(uox Tu EXpr=DnE RjCQu sT,SYS.oa e <br /> SIGNATURE OF APPLICANT SSJ<!?rH a 1SU,3WJZ55 DAYS <br /> DATE <br /> FILE ADDRESS <br /> nt ' i,�' <br /> tN. <br /> Z � S S- .a � S-f•e o Goo <br /> , <br /> CA <br /> X 1 KDERGR001t D TANK((I$T)CL.EAIVLSP atTE L <br /> E OTHER CLFANUP SITE(NON-Lop) WG I �? p FOOD FACILITYATEMENT U WL0 WASTE rACILITY � <br /> . UNdER6ROLlhlD TANK(MONITOR1 IGIOREMOVAL ❑ SOLID WASTE VEF3iC1 lr <br /> HAZARDCWJS"T�OENSUTOR ) AOS ICI AIf ❑ DAIRY <br /> q TLEREM Pj5tt ❑ CHICKFN RANCH PKC TRE gTRiL1VT PLANT <br /> h�>.1"r$D I C11]TY ❑ MOTEURCMEL <br /> GI 7ATTQLVBpp!'�3RCrNG ❑ PUMP1:RTRL1CKYAp,0/C"eMT01LETs <br /> ❑ MEDICAL WASTE FACILITY ❑ ROdtJSPA 13 LAND USE APPLiCATLON SUES- Ij <br /> Q PUBLIC WATER SYSTEJL a OTHER^F-ASt:SPEC" <br /> 4. Lizt up to ten addresws in the space above. Select the <br /> the appropriate, 4QX(ez). At leatgt one filo t �1�(��of files from the fiat above by checking <br /> address 4ndicaded ahave. YPe MUST bo selected. Fax to tmm A&A-*%13tt ar m, to the <br /> ��_.._. <br /> 2. EHp,kilt naf]fy the aFPlir-ant ifany EHO tiles exist An aPpointmant for review will be contirmciha <br /> appriff 1>kite)df}r a b imurss days bU no later tfean tett(10)days atter race[ <br /> Pt Of appltCatton. The files <br /> will be itels{ far a maximum of five bnsincss days for mvicw. e�paintments cf•Ioethf b2 schedu od <br /> he <br /> a ccordirbg ly. <br /> 3. A file that is actively being woI an by EHO staff znay net ba immediately available for r'eviaw. A now <br /> aPPI wbitinn may be submitted when the file is av2itahle- <br /> 4- Any tie not returned in the sams Cgndi#en as be released wilt <br /> of ttv*a tPP"ccant. f=uture fiie rev' be reorganized by EH':)staff a#Lha expanse <br /> PAoirrlment dates must <br /> $• 'TENTATIVE a :Burs by the same applicant may require a t7$.00 deposit prior to review. <br /> G. /iPpfic, tisstls receiyreConfirmed with E140 staff.d after 3=pm witl be processed the next business day. <br /> z:. y.�r-R��++ � (��1`{g-{FJ1�,w.�a {�C Y���i'�� :.. C¢ I�'•y�n s�, �ymd <br /> I ©'s:+..:t.fl n'LFltV 'L:.r�tieM."•;�AP;S <br /> Ftsicf. <br /> r.,.•;,,xi__ .e. I., fEW'. i 4t 16x4 `?y� \FiN� :t,�t, �� <br /> Sl. <br />