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Ip�UG. 16.200213 2:461`1`14640"1PEX ENVIROTECH,INC. ENVIRal�FIJTAL HEALTH NO.085 P.2AGE 92 <br /> "o...re ut�crvee <br /> SAOAQUIN COUNTYPUBLIC HEAASERVICE <br /> ENVIRONMENTAL HEALTH DIVISION NE <br /> 9S� 304 EAST WEBER AVENUE,THIRD FLOOk NEC <br /> L�� � I L) <br /> STOCKTON CA 95202 <br /> (209)4684420 AUG 1 8 2002 <br /> PUBLIC RECORDS RELEASE APPILICATI <br /> APPLICANT \:J f VlI K (,tin,-s�� BHSII.,EssfAcenlCr�17 C Utt'a T/SERVICES <br /> �— <br /> ADDRESS <br /> /�I ( ,, rrtA <br /> PHONE_=( �FACsrmrLE 51 -0 <br /> TENTATIVE'.APPci"mr TRATE N(E <br /> (PIGaI��10 bus d tram da of application submittal) - <br /> CHECK BOX TO EXPEDITE RCQuM.$Moo FEE—REguAFRO�ED IN 3 BUSINESS DAYS <br /> SIGNATURE OFAPPLICAN DATE 9&/off <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 2 11 5t Tr n%, <br /> 2 4 0t Ap A rr <br /> Liticoly, <br /> / ra Cd4 2V <br /> /too W <br /> F1 E �h Tra lr •-� <br /> q5 W <br /> /1 N <br /> 5 7 11'1h ra s 5"0 S- <br /> I () /rib %P i eJ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> eUNDERGROUND TANK(UST)cLEAt1UP srrr(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> ❑ OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY O SOLID WASTE VEHICLE <br /> ❑ UNDERGROUND TANK(MONMORINGIREM OVAL) 4 DOG KENNEL O DAIRY <br /> ed HAZARDOUS WASTE GENERATOR O CHICKEN RANCH ❑ PKG TREATMENT PLANT , <br /> 4 TIERED PERMITTED FACILITY ❑ MaMUHOTEL ❑ PUMPER TRUGKrYARDICHEM TOILETS . <br /> O TATTOO113OPY PEIRCING 0 POCUSPA O LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up is ten addresses in the space above. Select the typa(s) of files from the Ilst above by checking <br /> the appropriate box(es). At least one file type MUST be selected_ Fax to (209)464-0138 or mall to the <br /> gidoress 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 filo that,Is activelybbing worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the flra 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 $89.00 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 /> ;r;,-rte„-T . <br />