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'- (13-21-03 11:4lam From-ENVIRON Elr._ LLE 5106559517 T-56( P.02/02 F-59p22 �p q <br /> /J�S�� JOAQUIN COUNTYPUB]Llr. WEALTH S7:RVICi� <br /> n ENVIRONMENTAL H F-ALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FI-OOR =' L <br /> MAR 2. 1 2003 STOCKTON CA 95202 <br /> (209) 468-3420 <br /> EPJVIRO�JMF_NT HE LIC RECORDS RELEASE APPLICATION <br /> PFRf�JIIT/SF���VIC <br /> 'APPLICANT BUSINE°SSJAGENCY Vi i'sm�d►--y��r' — <br /> AD1aRf 5S <br /> 6001 5 )11u.o14A }. ,{e 700' _�nbr iL1$, 7. <br /> (5 t� 6 55 -7 FACSIMILE (5 it7� 655 -95 I <br /> -PHONE --- <br /> _ <br /> TENTATIVE,*APPOINTMENTOATE p��-u—Call h'-1 TIME= —�•� <br /> (Fleaw Alva 7 to 10 btairwa9 days from date of application RubOtal) <br /> �1ILCK BOX TO EXPEOt-M REOUCST-599,00 FEE-RECUE$T PROCESSED IN 3 SUSINI555DAYS U4 \ <br /> 15IGNAT <br /> URE 0F APPLICANT [;LATE <br /> 7w toG kon� THIS S4Df EH I:] STA) I US1S�QNLY P FPq <br /> FILE ADORESs PROc;RNA L�MEf�1TS SEARCH <br /> — <br /> 02 <br /> 19 Vr <br /> c 2 s <br /> 6 36 i• <br /> ENVIRONMENTAL HEALTH DIVISION FILE" <br /> / 0 SOLID VVAsTI:FACILITY <br /> R( UNDERGROUND TANK (t15�CLEANUP SITE {LOP) C HOOD FA LITY RENT p SOLID•MVA,STI"VIKOLE <br /> & OTIiER CLEANUP SITE (NON-1-OP) fl FOOL FACILITY O DAIRY <br /> SVUNDERGROUNo TANK (MoNITORINGAREMOVA!_) Q DOG KENNEL 1i PIU; <br /> O CHICMN RANCH Y� �AT1Nrrp T <br /> f ,,,AZARDOUS WASTE 0FNCRATOR a MOTEL/HOTEL O r"1PE=TR TRUC:KrYARD/GHE:M TOIU-Ts <br /> TIFRED PERMIT ED FAGILI `r O poOIJSPA p LMIp tA31r EPOSEAFTLISpEcIFCATION SITES <br /> `o TATTC)0/1300Y paIRC1NG D a n mrp (Pt_[�`iE SPECIFY AI�OV1el <br /> ❑ MEDICAL WASTE.FACII-ITY "" <br /> 1• flat up to ken addresses in the space files lrorri the Ilsfi abovl c er.'tding... �; <br /> e above. Select the type(s) of ..H <br /> thy •ppropri8te box(es), At Feast one file type MUST be selected. Fax c �22 4,EL-01 M4„oj�_ ss <br /> ointmentfarl-eu'ieW will be confirmed <br /> Z END will natify the applicant If any EHD files exist. An app <br /> approxlmiately five business days but no later than ten (10) days aftal`Oceii.pt of��pplicatian. The filar <br /> will bo hMlr! for a maximum of five business days for review. Appolnhtnt+l should be scheduled <br /> accordingly. he y ► avaiilable for review. A now <br /> 3. A fits that Is actively Ing worked on b EHO staff may not be immedi lel,i <br /> application maybe submitted when the file Is avallable• by El•1Gi staff at the expense <br /> 4. Any file not ratumed in the same condition as releasedw will r <br /> l be re r i�8dl Q0 doposit prior to rovinw. <br /> of th• applicant. Future file reviews by the same app Y <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. gpplE"tlons rece"ed after 3:00 pm will be processed the next busines£d:�y. -- <br /> CONFIRMED Af'POINTMENTDATI= TIME —,--- ----- <br /> DATE CONFIRMEDPHONE FAX 5NITI)VU) <br /> REVIEW PATE <br /> REVIEWED YES NO — <br />