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15/02 TUE 15:37 FAX 209 4734818 MAYALL LAW OFFICE 10002 <br /> Al L NL,,uv¢u EHD S.NUMBER <br /> SAN JOA .IN COUNTYPUBLIC HEALTH SERVA ) <br /> w ENVIRONMENTAL HEALTH DIVISION �i�l F <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 �T 1 6 2WI (209)468-3420 <br /> PUBLICRECOR{DS RELEASE <br /> o-r/AqrP`i PLj✓�ICA.yTIO/N LN�V�I6nDNrv1,ENFT IlI�A,LqT.¢H <br /> APPLICANT V -C" Q/4S 13USINESSIAGENCY <br /> ADDRESS24S S.L'n.& —COC>I— CA -4 <br /> PHONE (ZO SIT 4E4'� FACSIMILE (Z09 'TTS- E-f flf A '^ <br /> TENTATIVE".APPOINTMENT DATE I6 Z5 O2 FSO TIME SO AM. <br /> (Please givaj to10pusl��s fXSEY71BUSINESS <br /> o oiicntion submilial) <br /> © CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE- EQ T PR DAYS <br /> SIGNATURE OF APPLICANT o DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> .v o ' <br /> `Ceti r AZ !S4, Ca Od <br /> 236 . G (50O Lir, <br /> ZI G d S+ CA 0171 <br /> ' U A _ <br /> r O`IT S . S 4 f, Co OOOS 5" <br /> ( rM, RaA gi, ,� acx->aLl s <br /> r i s <br /> W 5 LtrL,09 sl. Lodi CA- rA 000 4 Y IG <br /> A ENVIRONMENTAL HEALTH DIVISION FILES <br /> Id UNDERGROUND TANK(U5T)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> VOTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> M HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT , <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEvHoTEL O PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING 0 POOL/SPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY r7 PUBLIC WATER SYSTEM O 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(209)464-0139 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 Nle 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 $99.00 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 /> 1 <br />