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k <br /> E'. j• t <br /> 04/07/288 , i <br /> 11B AGE STOCKTON <br /> ;•• �(�] L (-� C' ,/�� PAGE 03./01 <br /> $E� OAQUIN <br /> 'VO LOG NUM.,, <br /> COUNTYPUBLIC HEALTH SERVICES <br /> i` <br /> APR ENVIRONMENTAL HEALTH o1VISIO <br /> ii n 7 20 3 N304 EAST WESER AVENUE,THIRD FLOOR <br /> ENVlHt1NMENT HEALTHSTOCKTON CA 95202 <br /> If (209)468-3420 <br /> PERM IT/SERVI6 LI C RECORDS RELEASE APPLICATION <br /> E� 3c <br /> APPLICANTliza <br /> ► <br /> iQ BU51NES31AGENCY G�(/ ��� II` <br /> ADDRESS �y 11 <br /> PHONE C;1i1 - 7/A 17' <br /> FAGIINILE <br /> II <br /> k TEkTAT.jVE*APPOINTMENT DATE'"' <br /> �j� TIME 1 1 <br /> (Phase give 7 to I o but; days Irom data F application sut,mir al) <br /> �� <br /> CHECK BOX TO>=XpEDtTE RERII 7-5 ,00 FEE—!l EQUEST ROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> !I DATE ` <br /> F! <br /> FILE ADURE$$ <br /> ff <br /> t 06d I� i <br /> It <br /> Ll <br /> 4 <br /> 7 le Ir ♦r �r id �.I . <br /> ENVIRONMENTAL,HEALTH DIVISION FILES <br /> UNDERGROUND TANK(US CLEANUP SITE(LOP) ❑ "OUSING ABATEMENT <br /> OT11 SOLID WASTE FACILITY <br /> HER CLEANUP SITE(NON-LOP) ❑ FOo>7 FACILITY ❑ <br /> SNDERGROUND TANK(MONITORINGIRr-MOVAL) ❑ DOG KENNEL ❑ SOLID WASTE}�EFifCLE <br /> HAZARDOUS WASTE GENERATOR © CHICKEN RANCH DAIRY <br /> C] TIERED PEKMITTED FACILITY ❑ PKG TREATMENT PLANT <br /> ❑ MOTEI1IiOTEL O Y PEIRCI CPUMPER TRUQTJYARD/CHEM T <br /> OILETS❑ MEDTCAL WASTE FACILITY 11 POOLISPA O LAND USE APPLICATION SfTE$ <br /> ❑ P,Uf3LiC WATER SYSTEM ❑ <br /> 4Tti1;R(PLEASE SPECIFY A6OVEJ <br /> 1• List tap to ten addresses in the space above. Select the t e s of files frvrn the list above by checking <br /> E theappropriate box{es}. At least one file yp ( ) <br /> type MUST be selected. Fax to (209 464_01388 OF rjll to the <br /> address indicated above <br /> 2. 43 ip <br /> EHD will notify th-e applicant if aby EHD:files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ton (10)days after <br /> will be held for a maximum of five business days for review. Appointments should be Scheduled#tl+art <br /> I accordingly. E!} <br /> �• A file that is actively being worked on by EHD staff Inay not be immediately available for review. A new <br /> f ; application may be submitted when the file Is available. <br /> 4. Any file not returned in the Same conditlon 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 $78.00 t, do to <br /> 4 *TENTATIVE appointment dates must be confirmed with EFID staff, <br /> t i <br /> Applit atloris received after 3;00 pm will be ` <br /> processed the next business clad t r has <br /> `f y — ., <br /> )NFIRMED,APPOINTME DAT <br /> i�f� i.l TIME <br />