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05/08/2003 13:50 t:AX [it 002 <br /> ! UlN COUNTYPUBl.lC HEALTIi! 5' WILES <br /> ,SAN .lo <br /> ENVIRONMENTAL HEALTH D' ISI4 <br /> 304.EAST WEBER.AVENUE.THIRD FLOOR <br /> �Vi rel' o 8 ZOU3 STOCKTON CA 96202 <br /> (203)468.3420 <br /> G RECORDS RELEASE APPLWATION <br /> PUBLIC}l�faQLf 13usINrAcENc,rLA,cAr-�! y . <br /> APPLICANT LLC him--�Q.1 YEA Ny_7:1rr� +'? E „ <br /> ADDRESS - �1L. 43$ • �"[ � ...., <br /> PHONB IV Jp37* 2U" FACSIMILE •— <br /> � � 14'��y�, TAKE _`t !�.'�. <br /> TENTATIVE*iaPPOiNTMEN7 DATE -- <br /> (please 31ve 710 40 bwinesa days from date Of appllcatJ n subrnitlal} + i <br /> OCt esl"D IN 3 SUu1I 0A)(5 M I a <br /> CRFCK BOX TO EXPEDiTF-REQUEST-$79.00 FEE--RE13 ' <br /> �3 1 <br /> Q• OATIw <br /> SIGNATUi2E OF APPLICANT <br /> 1 ya. P� l <br /> ` TH(S i7E E TO-1.TAFF USE GNL7 <br /> FILE ADDRESS I Pri()PI?.AN4.14CMEN'rS SEARCH <br /> kb �_ •� 95 <br /> .t 5 J -° <br /> i <br /> ENVIRONMENTAL,HEALTH DIVISION FILES <br /> jr3 :;OL111W� M-FAC UrY <br /> i M UNDERGROUND TANK(uST)CLEANUP 517M(LOP) - li0USI3�iG ABATEMENT i Q SOUL)WASTE VEHICLE <br /> 0 OTHER CLEANUP SrrE(NONA-(W) ❑ GOOD FACIL l' <br /> 1:1 nw13P <br /> DOG KENNEL <br /> CrUNDERGROUHD TANK(MOHITORII1CWREMOVAL) � �CKI=N RANCH 13 PKG TREAT�1ENT PLANT � <br /> O HAZARDOUS wASTI?GENERATOR 13 PUNjF.R'1 RUCW(ARDICHEM T01LI <br /> 13 TIej;tZ17 PERiM1TrED FACILITY 0 MOTELIHOTEL II 11 LANAI USE APPUCAT40H ME$ <br /> 0 TATTOCIBODY PEIRCING 0 pooUSPA 13 rJTHI"sR(PLEASE SPECIFY ABOVE) <br /> © rAF-DICAL WAM FACIL rry Cl PUBI 1C WATER SY5"1 E <br /> of files from the list above by checking <br /> 1. List up to ten addresses in the space above. Select the type(s)s) ���� ���_� tfie <br /> the appropriate box(es). At least one file type MUST be select+=d. I' 'r to 209 a J li or ail o <br /> ddr ss Indicat eve. f } <br /> SSi M EHD rvili notify fife applicant if any E14D files exist. An aPI01"tMent for rtwieW will be Confirmed <br /> approximately frve business days but no later than ten ('10)days,, iter to should of pbe schedullei #lea <br /> will be held for a maximum of five business Mceilllt <br /> days for review. App <br /> accordingly. <br /> 3• A file that Is actively being workedon by HD staff <br /> affmay able. n'�t bO li7 mediately available for review. A new <br /> application may bo submitted when �i <br /> 4- Any file not reWmad in the same condition as released will be raor•ganizod.by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant relay irequire a $78,00 deposit Prior fa review. <br /> S. 'TENTATIVE appointment bates must be confirmed with EHD staff- <br /> c 6. <br /> Applications received after 3:00 prn will be processed the'next tiu�-1 n ass day . <br /> a CONFIRMED APPOINTMENT DATE MTiNtE'—•------ <br /> DATE CONFIRMED <br /> r FAX INMAL-S <br /> RI=V1EW1rD. YES NO REllll`1N DATI.�:� --- <br /> Elf QQ 14 UZ74MID <br /> 4 TOTAL P.62 I <br />