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P.$31 <br /> FEB-25-03 12 :54 PM � <br /> . 0:�:5� 7; �x}�t��l._ �E� d EI.VIF2Gt'x1E"•ru.. HEA LTr?� P4 U' <br /> f <br /> .. 'SA�' OAOUIN COUNTYPUBLIC HEALTH SERVIGFS ti <br /> FEB ENVIRONMENTAL, HEALTH DIVISION , <br /> 2003 304 EAST WEBER AVENUE,THIRD FI-00A I <br /> NVlr;t jl+RSTOCKTON CA 85242 I <br /> ? <br /> F,� (209)468-3420 <br /> (C RECORDS RELEASE AppLlCA-TION ; <br /> APPLICM - -6uSINESSIAGENCY _.►-_rt-s �_-.I �-LZC"t..QyJ - <br /> ADDRESSrTLN <br /> PHONEL1 � � rAd5iM..L_V0ATIV E"/W VENT 7 UATE 7ilAE - <br /> 1 JJ� (Plc <br /> so plvn T to�6 business days from dal,of applt4slEon aulxnlltp'} 1 i <br /> CIAECK BOX TO EXFEDIT E;=UE T ;$'3,1}0 FEL;-REQUEST PnOCESSEQ IN I BU514ESS GAYS <br /> *SIGNATURE OF APPLICANT _. <br /> DATE i'r �� <br /> FILE AO ROSS TH:3 URA E.AE]STAFF;3C UNI.'r <br /> f Pkot3lWd tsi_QMGF17ii SCARGH <br /> -(A <br /> ENVIRONMENTAL HEALTI•I DIVISION FILES <br /> O SOLIDWASTE FPCILITY <br /> uNCERGROUND TAK (UST)CLEA UP 397E(LOP) hF CIF p 13 AIENT 0 SOLID WASTE VE::►iICLE i <br /> OTi;ER GLL-ANUC'SITE(NOH-LOP'} [] pOG KERNEL ITY C? DAIR <br /> l UNDERGROUND TANK(MdN9TpR1 GIREMOVALI p CHICKEN RANCH a pKr,TtloATh1EN'r PLANT <br /> . 4 14AZARDCUS WASTE CEHERATUR t] CHICKEN R EL t7 PUMpE:RjrAVC"AtU r-14 to fOIUTS <br /> t�(ISASO PERMIT 10 XtXiL1TY 0 PCOLISPA a LANG Urm APPVC.ATIQI-S LS.. <br /> {�J TATTOOIgDDY P&llkCING 9� OTf;GTI(PLtsAGE Spcc9FY I i1QV6� <br /> Q MEOICALWASTE FACILTTY , <br /> y, Last UA to ten acrross c In !ho rpaco above. So1eCt!h0 iype(s)of Fax tfO4x09h 464 01�e thot o Or all tt3 t chucking <br /> • ` the appreprialo box(e ). At least one Lila type MUST be SCIOCIed. __, ___..{��--- <br /> c. a4dfoss Irdic'uted ab ve. V ew will bn confii6ed <br /> 2 EHO will notify the ap Meant I'any EHD tlles exist. An appointmafit Torre + llcationl The files <br /> approxlrnately five. bur mess days but no later than tote(90)days after receipt of app <br /> will ba held for a max mule of five buttinoss Bays for review. Appolntmg-WIS should be 5chei utad <br /> accordIn;iy. <br /> 3. A le that,ia actively Ging worked on by EP-0 slpff may not be Inttncdlatcty available for aro icer+• A now <br /> fi <br /> t a7A11Catton may bv.st bmitted whop the filo is available. at Ilhe <br /> 4. Any fila not returned n the same condition as released ant M2 t requiree zed by a S 9-CWdepo5A p+r Icx co icer <br /> of the eppilattrlL Fut re file reviews by the sarno app Y , <br /> 5. vl'ENTATIVE appoln ont datr:s must be ronrinnod with EHO staff. i <br /> p, AppllGatlons rucrsivc atter 3:00 PTa will be processed the next business 110y — <br /> TIME <br /> CONFIRMED AFPOINTME DACE <br /> PHONE !'AX lNIT1AL.ci `r <br /> UAnFECONFiRMtED <br /> Ft1rVi>~in'>rG <br /> YES NO RCVIEW DATE---- <br />