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,LIAR-14-2003 14:05 URS CORPORATION 510 ;37,1 3268 P.02,'EI,! <br /> EMP LOG MUM01'" <br /> IAN Jam,-AQUIN COUNTYPUBLIC HEALTH V10E:5 <br /> ENVIRONMIENTAL HEALTH DIVISION <br /> MAR 1 4 2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> [:UIRONMENT HEAT ! (209) 468-3420 <br /> PERNIITISERV146BLIC RECORDS RELEASE APPUCA`I'R I <br /> APPLICANT \I��IN1_1 ,V'a (�-BUSINESWAGENCY UPS CSP- -a t a �— <br /> q(p C) <br /> ADDRESS <br /> PHONE 57 d` 97 Ll —3 I21 3 —FACSIMILE � � � �-7 '3 <br /> TENTATIVE*APPOINTMENT DATE -,9M 3 1+03 <br /> 7I rrI E <br /> (PlL.aso glve7 to 10 bualnoSs days from date of application subm;ttary <br /> CHECK 60X TO EXPEDITE REQUEST $89.00 FV-E-REQUEST PROCES515:0 IN 0 BUSINESS DAY 14a � <br /> 51GN,�7UR@ OF <br /> APPLIr.,ANT CII"TE 3 c_( <br /> r�lF <br /> THI SLOE ET3 STAFF USE ONLY <br /> FILE ADDRESS P(1()GRAM F:U=MENT5 SEARCH <br /> 1 <br /> f!1 <br /> J <br /> Ln <br /> ENVIRONMENTAL HEALTH DIVISION FII-ES �11R 2nd J <br /> UNORRGROUND TANK( T)CLEANUP SITE(LOP) ❑ HCIUSING ABATEMENT '0 SaUCI WASTE FACILITY � <L'uv <br /> OT}tEh.CLEANI)P SITE(NON-LOP) ❑ FOOD FILI <br /> ACTY CISOL(tI WASTE VEHICLE <br /> fir UNOF_RGR,OUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIFtV( <br /> d Hfl7_,RRnnUS W.aZTE GENERATOR C3 CHICKEN RANCH 0 PKG"rP.EATMENT PLANT <br /> p Zic�rn cFo1��1TC,rl Cprll,lr( C7 MOTEL/HOTEL O PUMPER TRUCK/YARDICFIE.11 TOILETS <br /> Cl T„fnr,f�nny aclwr;turt O POOUSPA ❑ LAND USE APPLICATION jvT O <br /> ❑ .,rrnr.el.•A,�e.tt Cnrrll►V ❑ Z O OTNLR(PLEASESPECIfYIU VE) <br /> 1. I,.icl,iso t(, ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> f.ht aoarobriate box(es). At least one file type MUSS'be selectr_d. f ax to j2D91 464-0138 or rnail to the <br /> ,1rl�reSS Indicated above, <br /> z :►1n will notify the applicant if any EHD fleS exist. An appvintmetnt for review will baa confirmed <br /> snorr ximatety five business days but no later than ten (10) days after rel�eipt of application. The files <br /> will he helr! for a maximum of five business days for review. Appointments should be schedulfetl <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD Staff may not be immediate•I)r available for re-view. Anew <br /> application may be submitted when the file is available. <br /> 4. Any file not raturned in the same condition as released will be reorganized by EHD staff at tIle expense <br /> of the applicant, Future file reviews by the same applicant may raquire a$89.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD stall. �0�� <br /> G. Applications received after 3:00 pm will be processed the next busine_cs day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO . <br /> ;;",; +�• REVIEW DATE <br /> TOTAL. F.02 <br />