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OSAPR.23,20043: 9:3.SANb401PPEX ENVIROTEM INC. CI'1V 115LJIYifGiY]NL n <br /> Np.588 P.2— <br /> "M <br /> .2'"M bac MAO" <br /> UOAQUIN COUNTYPUBLIC HEAL ..SA a yRu[C1wS <br /> j <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APR 2 3 2004 304 EAST WESER AVENUE,THIRD FLOOR � <br /> STOCKTON CA 95202 i <br /> (209)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION 17WC : ' <br /> APPLICANT J2 �llt^L�r W 5Lai - gUStN5931AGEHGY A�'OP.K r L\r w- <br /> �j L <br /> ADDRESS I(2y C" Ir[1 0LA AUd.� C.'� '9.5(a-7a ....... <br /> P14ONE qt(O MI - O (-7L4- FAdSIMILE. q 1� - S-S4I-D( n ..� <br /> TENTATIVIE'•APPOINTMENT DATE -- TIME <br /> (Please give 7 to 10 busiMeas days(ram dale or applicallon subnsitWl) <br /> CHECK BOX TO EXPEDITE AIQU 00 FEE--REQUEST PROCESSES]IN 3 OUSINM PAYS rt �- <br /> SIGNATURI=OF APPLICANT f DATE 'S O / <br /> FILE ADDRESS THIS SIDE IEHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> o 7 e I i5P <br /> +h ,c <br /> 40 a 19;4' <br /> 5 I( rCA <br /> ENVIRON ENTAL.HEALTH DIVISION FILES Iry <br /> 'Q =)F-RGROUNO TANK IUST)C-LEANUP SIM(WPI Cl HOUSING AeATEMEW O SOLID WASTE FACILITY <br /> O OTH9A CLEANUP SITE(NOR-LOP) O 1L <br /> FOOD FAC1'fY O SOLID WASTE yEFiiLE <br /> CLf: <br /> C3 umwZRGROVNi0 YANK(MONITORINGIREMOVAL) 0 OOG KENNEL ❑ DAIRY r <br /> �HAZARDOtJS WASTE GENERATOR 0 CHICKEN RANCH 0 pKe TREATMENT PLANT <br /> 1 HAZAR PERIVfWASTI FACILITY Cl MOTFLHOT'EL 0 PUMPER TRU CVJYARDICHEM T0Q-E1 <br /> TATTZM PER7Y PED FACICING CI POOLJSPA L] LANA USE APPLXATION STIES <br /> to MEDICAL WASTE FACILITY + <br /> t7 PUDl3C WATER SYSTEM O OTHER(PLEASE SPECIFY ABOVE} <br /> 1. List up to tan addresses in the Space above. Select the type(s) of files from the list above by check ' I <br /> the approAriatc box(es), At least one fila type MUST be selected. Fax to 209 40138 or mall to tl <br /> address`ndimte ab'eve_ <br /> 2, EHD will notify the ap licant If any EHD files exist~.An appointment for review will be confirnrtad <br /> approximately five business days but no later than ten(it)) days after receipt of application. The fit <br /> will be held for a maximurls of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> A filo that)s actively being worked on by ESDstaff maY not bet Immediately available for review. A w <br /> appliCation may be submitted when the fila IS available. <br /> 4. Any file not returned in the Same condition as released will be reorganized by EHD Staff at tbQ expf a � <br /> of the applicant. Future file reviews by ti'te same applicant may require a $89-00 deposit prior to re' W. <br /> 5, *TENTATIVE appointment dates must be confirmed with EHp staff. <br /> 5. AppliG�tians received after 3:00 prn Will be processed the next buSines :,s „0 ' <br /> TIME <br /> CONFIRMED APPOINTMENT DATE. <br /> PRONE FAX INITIALS <br /> DATE CONFIRMED, <br /> RIMEWED YES NO <br /> 1FtE1 ew DATE <br />