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AiVt�tUAll�1 I:UUIY I Y I'Ut3L1[� f I AL l"H . RVIGES " u�'"u <br /> WRONMENTAL HEAL.TH�DIY151it) <br /> 304 EAST WESER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> 209 468,3420 <br /> PUBLIC RECORDS S " " I t <br /> RELEASE APPL[CA7`l�t�: <br /> APPLICANT rIZ sUSINE WAGEOCY GeawaL&N- <br /> ADDRESS �1` l rr _ ' <br /> PHONE �!- 6`f- �� EAC5LlYlIIE 5r, `r / ri <br /> / p M —i <br /> rla.r� f <br /> TENTATI�!! 1 aPPDrrifLet�IT1yATE Z / <br /> IFieaw gtva 7 to 10 busies days from date of appllcagan submittal _Cr- a <br /> (? a <7,, <br /> C-RI:CK BOX TO EXPEDITE REQUEST-373.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS �j D <br /> 11W <br /> C0 <br /> SIGNATURE OF APPLICANT _ DATA <br /> FILE ADDRESS THIS SIDE Et10 47AFF UM ONLY <br /> PROGRAM EI MENTS SEARCH <br /> 7-12.0 <br /> ff- 3ZI`��� I <br /> 'fr90 11/lti �. rP6&7de <br /> r r' <br /> ENVIRONMENTAL HEALTH DTMION Ffi ES ° � 11.x' <br /> 'uNts@RGIZ(]uND TANK(UST)CLEANUP 7E(Lop) 4 IiouslNs ABATEMENT 0 SOLID WASTI:FAt:M.rrY �L,I 11��DC3 <br /> QTRF.R OL-EANUP SITE(mcK-LQP) A FOOD FACtU Y M SOLID WASTE V'>rmCLE J t <br /> Gl uNDERGROUND TANK JF40NITURING/REMOVALI 0 DOG KENNEL. C3 bAIRY " `' <br /> a HAZARDOLFS WASTE GE1WRATOR 0 CHKXEN RANCH Q FKG TREATMENT PLANT <br /> 13 TIERED PERmMEDFACJUTY ❑ IVIDTELMOTEL a PUMPER TRUCKJYARDMHE?aTOILETS <br /> 0 TATIOOOSOuy A>;IRCIItG a POOUSPA 0 LAND USE AFPLjr-ATION SrrES <br /> L7 MEDICAL WASTE FA 0xTY a PU"IC WATER SYSTEM 0 OTHER[PLEAsE:speciryAsom <br /> 11- 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{esa. At least one file type MUST be selected, &X 10209 46"138'or m <br /> ail to Mi <br /> a�ress irsdica�ed above, " <br /> 2. END will notify the applicant it any EHO files exist. An appointment for review"will be Confirmed <br /> approximarely Tine business days but no biter than ten(110)days after receipt of application. The files <br /> will ba held for a maximum of five business days for revim., Appointments should be scheduled <br /> accordingly. <br /> 3• Afile that is actively being worked an by EHD staff may not be irnrnediateiy ev2lilabre for review. Anew <br /> aPPDCdtion may be submitted when the file is available. <br /> 4• Alny file rtnt returned ir1 the same condition as released will be reorganized by END Staff at the expense <br /> of the applicant Future file reuiews by the same applicant may require a$78.00'deposit"priarlo reviow. <br /> 5• `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6• Applications received after&CIO pm will be processed the next business day. " <br /> " I <br /> 1 <br /> CONFIRMED APPOINTMENT DA`1-E TIME <br /> DA`I1=CONFIRMED PHONE FAX INFTIALS <br /> REVIEwrm n YES NO RIrMW DATE <br /> 66 7A aw Lipp <br />