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04+83/2002 10:23 559268�00 TWINING LABS PACE 02/02 <br /> 0?-117-2001 10:41AM =;9 TO <br /> I ;.,�• �;�,. :,;;: SA( J1=110NMERM <br /> titl GQtlNTYPUf31.lC HEALTH SERVICE$ <br /> !"�! HEALTH)DIVISION <br /> 304 EASY WEBER AVENUIL TIORD FLOOR <br /> 02 APR -3 AM 10: 1 STAGKTON CA 0=2 <br /> (209)468.34x0 <br /> PUB C RECORi�S RELEASE APPL[CAT�ON <br /> `APPLICANT A if tUSIHESS/AOEMCY G��" �� � q <br /> PHO,VE ��$.-'�d�I ! EACSIMIL4ss9� <br /> T'ENTAI V.fi!APPomwT QATE TWAE <br /> • (PIO�e viva y 70 f;1 <br /> CHECK iibX 70 EXPfiA1Y�a RsQUaST•$37. - UtT ROt:>a.4SUSINESS DAYS <br /> 'SIGNATURE OF APPUCANT f '�4'z - _ DATE <br /> I <br /> PRQORAM ELEYEM STARCH <br /> e <br /> q SD 4141-' 2.1 Ic- <br /> I e- • c GO <br /> 1' 2 SD <br /> i <br /> ENVIRONMENTAL HEALTH DrMION FILES <br /> NOFAGROUND TANK(Vgn CLBMUP srtE-(LOP) O HOU3M ABAT9MEKT O SOLID WASTE FACOXY <br /> Q-0THIM CLEANUP SITE(>'I -LOP) O FOOD FACOAY O SOLID WASTE VMCLE <br /> Ill OLWROUKD TAKK(MONrrORINMEMOVAL) 0 DOG KOVIRL G RAIRY <br /> HAZARDOUS WAVM GENERATOR ! O CHICKEN RANCH. O PKG TREATMENTPLANT <br /> .0 TO=P!•ftMrTrev RAcaxrY � O MaMli IOTEL d PUMPERTRUGi YARWHBUTMUTS <br /> 16 TATTbosoui Primoin i O P60USPA -- O LAID USE APPUCATWAI$053 <br /> I MEDIQAL YYASTs FACILITY G PUGUO WATER SYSTEM O OTHER VLEAsE SPECIFY ABM) <br /> List up to ton wkiressa In the space above. Select the type(s)of files from the tlst above by cloaking <br /> taddress <br /> the appropriate box(es). At least one fie type MUST be selected. Fax_to(20914t► i4�i38_or mzl1 to f <br /> E!'ID will notify the appQ ant if any EHO files exist. Act appointment for review will be confirmed <br /> approxitnately five busi ass days but no later than tort(10)days after receipt of application.The flies <br /> will be held for a nwAmwn of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A fila that 13 actively beK2 worked on by END staff may not be Immediately available for revlow. A now <br /> appll"tion may be Sub flitted when the fila is available. <br /> �4. Any file,wt rptumad�in sarna condition ie <br /> *6 releAxed will be reorgand by EMD'staff at the expamm <br /> of the aeplicanL Future Ile for-laws by the same applicant aW reWre a$37.0o deposit prior to rovtew. <br /> 5: 'TEKTA,AWE appointrlle dates must be confirmed with EHD staff.�. Application$reaelved a 3:00 pm will be processed the next business day.' <br /> ONFIRMED APPOINTMENT l T) TIME <br /> AIT CONFIRMED i PHONE FAX INITIALS <br /> t Ed YES' i NO• - Rev1EVY!vATH ' <br /> �' , ,•. . <br />